LuxeNova Community Wellness, Inc. logoLuxeNova Community Wellness, Inc.
2026–2027 School Year

🎒 Back-to-School Supply Registration

LuxeNova Community Wellness, Inc. is committed to helping students start the school year prepared for success. Families in need of school supplies may complete the registration form below. Completing this form does not guarantee assistance. Supplies will be distributed based on available inventory and eligibility.

Parent / Guardian Information

Home Address

Household Information

Receiving SNAP?

Receiving WIC?

MassHealth / Medicaid?

Student Information

Add each child needing supplies.

Child 1

Additional Information

Required Agreements

This form is secured with rate limiting and abuse protection. Your information is confidential and used only for supply distribution.