August 15th & 16th at East Jr. High School

311 Lincoln St., Wisconsin Rapids, WI 54494

*Disclaimer
The supplies distributed at Stuff the Desk are a result of community donations and may not be all of the items requested by classrooms as teachers and school districts vary in supply requests. Please contact your student’s school if other supplies are needed. The information you have provided on this form may be shared with your student’s school district.

Registration open May 1st, 2025 - August 1st, 2025

Click HERE to see supplies to be received by grade

Name of Custodial Parent

Parent First Name

Parent Last Name

Street Address

City

State

Postal Code

Phone

Email Address

Does your family qualify for free or reduced school lunch?

Yes

Name of Person Filling Out This Form

First

Last

What Time Will You Pick Up Your Supplies?

Friday, August 15th at 3:00pm

Friday, August 15th at 3:30pm

Friday, August 15th at 4:00pm

Friday, August 15th at 4:30pm

Friday, August 15th at 5:00pm

Saturday, August 16th at 8:00am

Saturday, August 16th at 8:30am

Saturday, August 16th at 9:00am

Student #1

Student 1 First Name

Student 1 Last Name

School Attending in the Fall of 2025

Grade Entering in the Fall of 2025

Are you enrolled in the Wisconsin Rapids, or Nekoosa/Port Edwards Title VI: Native American Education Program?

Yes – Wisconsin Rapids School District

Yes – Port Edwards/Nekoosa School Districts

Presently, where is the student living?

with parent(s)/guardian in own home or apartment

in a shelter or temporary foster care

in a motel, car, or campsite

in transitional housing

with another family due to loss of housing or as a result of economic hardship

with friends or family members other than a parent/guardian

student living in own apartment or home

Other

Do you have another student to register?

Yes

Student #2

Student 2 First Name

Student 2 Last Name

School Attending in the Fall of 2025

Grade Entering in the Fall of 2025

Are you enrolled in the Wisconsin Rapids, or Nekoosa/Port Edwards Title VI: Native American Education Program?

Yes – Wisconsin Rapids School District

Yes – Port Edwards/Nekoosa School Districts

Presently, where is the student living?

with parent(s)/guardian in own home or apartment

in a shelter or temporary foster care

in a motel, car, or campsite

in transitional housing

with another family due to loss of housing or as a result of economic hardship

with friends or family members other than a parent/guardian

student living in own apartment or home

Other

Do you have another student to register?

Yes

Student #3

Student 3 First Name

Student 3 Last Name

School Attending in the Fall of 2025

Grade Entering in the Fall of 2025

Are you enrolled in the Wisconsin Rapids, or Nekoosa/Port Edwards Title VI: Native American Education Program?

Yes – Wisconsin Rapids School District

Yes – Port Edwards/Nekoosa School Districts

Presently, where is the student living?

with parent(s)/guardian in own home or apartment

in a shelter or temporary foster care

in a motel, car, or campsite

in transitional housing

with another family due to loss of housing or as a result of economic hardship

with friends or family members other than a parent/guardian

student living in own apartment or home

Other

Do you have another student to register?

Yes

Student #4

Student 4 First Name

Student 4 Last Name

School Attending in the Fall of 2025

Grade Entering in the Fall of 2025

Are you enrolled in the Wisconsin Rapids, or Nekoosa/Port Edwards Title VI: Native American Education Program?

Yes – Wisconsin Rapids School District

Yes – Port Edwards/Nekoosa School Districts

Presently, where is the student living?

with parent(s)/guardian in own home or apartment

in a shelter or temporary foster care

in a motel, car, or campsite

in transitional housing

with another family due to loss of housing or as a result of economic hardship

with friends or family members other than a parent/guardian

student living in own apartment or home

Other

Do you have another student to register?

Yes

Student #5

Student 5 First Name

Student 5 Last Name

School Attending in the Fall of 2025

Grade Entering in the Fall of 2025

Are you enrolled in the Wisconsin Rapids, or Nekoosa/Port Edwards Title VI: Native American Education Program?

Yes – Wisconsin Rapids School District

Yes – Port Edwards/Nekoosa School Districts

Presently, where is the student living?

with parent(s)/guardian in own home or apartment

in a shelter or temporary foster care

in a motel, car, or campsite

in transitional housing

with another family due to loss of housing or as a result of economic hardship

with friends or family members other than a parent/guardian

student living in own apartment or home

Other

Do you have another student to register?

Yes

Student #6

Student 6 First Name

Student 6 Last Name

School Attending in the Fall of 2025

Grade Entering in the Fall of 2025

Are you enrolled in the Wisconsin Rapids, or Nekoosa/Port Edwards Title VI: Native American Education Program?

Yes – Wisconsin Rapids School District

Yes – Port Edwards/Nekoosa School Districts

Presently, where is the student living?

with parent(s)/guardian in own home or apartment

in a shelter or temporary foster care

in a motel, car, or campsite

in transitional housing

with another family due to loss of housing or as a result of economic hardship

with friends or family members other than a parent/guardian

student living in own apartment or home

Other

Do you have another student to register?

Yes

Student #7

Student 7 First Name

Student 7 Last Name

School Attending in the Fall of 2025

Grade Entering in the Fall of 2025

Are you enrolled in the Wisconsin Rapids, or Nekoosa/Port Edwards Title VI: Native American Education Program?

Yes – Wisconsin Rapids School District

Yes – Port Edwards/Nekoosa School Districts

Presently, where is the student living?

with parent(s)/guardian in own home or apartment

in a shelter or temporary foster care

in a motel, car, or campsite

in transitional housing

with another family due to loss of housing or as a result of economic hardship

with friends or family members other than a parent/guardian

student living in own apartment or home

Other

Do you have another student to register?

Yes

Student #8

Student 8 First Name

Student 8 Last Name

School Attending in the Fall of 2025

Grade Entering in the Fall of 2025

Are you enrolled in the Wisconsin Rapids, or Nekoosa/Port Edwards Title VI: Native American Education Program?

Yes – Wisconsin Rapids School District

Yes – Port Edwards/Nekoosa School Districts

Presently, where is the student living?

with parent(s)/guardian in own home or apartment

in a shelter or temporary foster care

in a motel, car, or campsite

in transitional housing

with another family due to loss of housing or as a result of economic hardship

with friends or family members other than a parent/guardian

student living in own apartment or home

Other

Do you have another student to register?

Yes

Student #9

Student 9 First Name

Student 9 Last Name

School Attending in the Fall of 2025

Grade Entering in the Fall of 2025

Are you enrolled in the Wisconsin Rapids, or Nekoosa/Port Edwards Title VI: Native American Education Program?

Yes – Wisconsin Rapids School District

Yes – Port Edwards/Nekoosa School Districts

Presently, where is the student living?

with parent(s)/guardian in own home or apartment

in a shelter or temporary foster care

in a motel, car, or campsite

in transitional housing

with another family due to loss of housing or as a result of economic hardship

with friends or family members other than a parent/guardian

student living in own apartment or home

Other

Do you have another student to register?

Yes

Student #10

Student 10 First Name

Student 10 Last Name

School Attending in the Fall of 2025

Grade Entering in the Fall of 2025

Are you enrolled in the Wisconsin Rapids, or Nekoosa/Port Edwards Title VI: Native American Education Program?

Yes – Wisconsin Rapids School District

Yes – Port Edwards/Nekoosa School Districts

Presently, where is the student living?

with parent(s)/guardian in own home or apartment

in a shelter or temporary foster care

in a motel, car, or campsite

in transitional housing

with another family due to loss of housing or as a result of economic hardship

with friends or family members other than a parent/guardian

student living in own apartment or home

Other

Leave this field blank

Stuff the Desk Registration 2025

August 15th & 16th at East Jr. High School

Registration open May 1st, 2025 - August 1st, 2025

Click HERE to see supplies to be received by grade