Thanksgiving Meal Request Form

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In keeping with our goal of a strong community connection, Lake Shore Public Schools will be working to support those most in need of a Thanksgiving meal. Please let us know if you are in need of assistance and we will do our best to support you and your family.

If you have any questions, please reach out to Shannon Ketelhut at sketelhut@lsps.org.

Email *

Full Name *

Street Address *

City *

Zip Code *

Phone Number *

I have a student attending the following Lake Shore Public Schools building(s): *

Lake Shore Early Childhood Center

Masonic Heights Elementary

Rodgers Elementary

Violet Elementary

Kennedy Middle School

Lake Shore High School

North Lake High School

None

Required

To assist in providing the appropriate serving sizes, please provide the number of adults living in your home. *

To assist in providing the appropriate serving sizes, please provide the number of children living in your home. *

I understand that if donations exist, volunteers will deliver a meal to my home on Tuesday, November 22, 2022 between 12:00 p.m. and 8:00 p.m. If I am not home, the meal will be left on my porch. *

I understand and agree.

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