Food Pantry Request Form
Please fill out this form if you would like access to the VCHS Food Pantry. Please contact Janeigh Dantzson at janeigh.dantzson@usd262.net if you have any questions/concerns.

Students are provided with a pass each week to come and pick their items from the food pantry. During holidays and extended breaks, families are contacted to come get extra food to take home as well. 
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Are you the student or parent/guardian?
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Student Name
Parent/Guardian Name
Parent/Guardian phone number?
Parent/Guardian email?
What are some of your wants and needs from the food pantry? 
Any food allergies that we should be aware of?
Is there anything else that you want me to be aware of?
Submit
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