Meal Delivery Request Form

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Meal Delivery Request Form

The Vicksburg Warren School District is committed to feeding school lunch to each child aged 18 and under in Warren County who needs assistance during the extended closure of the schools. If you have children in your household who normally do not ride a VWSD bus to and from school, and you wish to participate in this program, please complete this form so that we can be prepared to serve them.

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Parent/Guardian Name

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Street Address *

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Number of children under age 18 for whom you are requesting a school breakfast and lunch. *

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Phone number

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Comments

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