BackPack Program
The Food Bank of Iowa’s BackPack Program™ is designed to increase access to easy-to-prepare, single servings of food
to school-aged children on weekends when school breakfast and lunch is not offered. The Food Bank of Iowa and
Sibley-Ocheyedan CSD would like to invite your child to participate in this exciting program!

Here's how it works:

1. Every Friday, your child will receive a sack filled with kid-friendly foods.
2. There is no fee for participating in the program. Families are only asked to provide feedback on the program by filling out annual surveys sent home with their child.
3. The program operates during the 2022-2023 school year.

Note: Peanut Butter and other products containing food allergens may be included. If your child has food allergies, it is
his/her responsibility to avoid eating those food items.
Sign in to Google to save your progress. Learn more
Date
MM
/
DD
/
YYYY
Parent/Guardian Name
Email Address
Child's Name
Child's Grade
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Sibley-Ocheyedan Community School District. Report Abuse