Stop & Shop Enrollment Form

Each year Stop & Shop gives away millions of dollars to schools based on the number of Stop & Shop card holders a school registers for the program. The program is free and does not impact other programs, like Gas Rewards. Help us earn a portion of this money for Hastings by signing up now! Learn more about A+ Rewards.

Note:  If you have more than one card to enroll, simply fill out this form for each card you wish to enroll!

Questions? Email us at stopshop@hastings-pto.org

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Stop & Shop Card Enrollment
Sign in to Google to save your progress. Learn more
* Indicates required question
First Name (Parent #1) *
Your answer
Last name (Parent #1) *
Your answer
Primary email address (Parent #1) *
Your answer
First Name (Parent #2)
Your answer
Last Name (Parent #2)
Your answer
Email address (Parent #2)
Your answer
13-digit Stop & Shop Card # *
Your answer
Last name of cardholder *
Your answer
Second school to support
You can support up to 2 schools with each Stop & Shop card. If you want to support a school in addition to Hastings, please identify it in the field below.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hastings PTO. Report Abuse