Permission to Share Information with Other Programs 22-23 SY

您的浏览器中未启用 JavaScript，因此无法打开此文件。请启用 JavaScript，然后重新加载。

Dear Parent(s)/Guardians(s):

For the following programs, we must have your permission to share your child's name and meal eligibility status only to receive various benefits.

For more information, please contact me at scowden@fortcherry.org or 724-796-1551 Ext. 2391

Mrs. Sally Cowden
Food Service Clerk

电子邮件地址 *

Parents/Guardians' Name *

Children's Name(s) & Grade(s) (list all children attending FCSD) *

I WILL ALLOW the Fort Cherry Food Service Department to share my children's name and meal eligibility status with other Fort Cherry School Programs to enable my benefits for the following programs. (Information will NOT be shared with anyone outside the School District). Check all programs you would like to participate in.

ANGEL TREE -- This program will give assistance with clothing and gifts at Christmas time.

HELPING HANDS -- You will receive once monthly, a food box for every child in your family.

FEDERAL & STATE TESTING -- You will receive a Free/Reduced price on the fees associated with the SAT/ACT tests, etc.

COLLEGE APPLICATIONS -- You will receive discounts for fees associated with college application processes.

VO-TECH SCHOOLS – You will receive free/reduced prices pertaining to programs.

I DO NOT allow Fort Cherry Food Service Department to share my children's information with other Fort Cherry programs. I understand I will not benefit from free/reduced fees or assistance services through the Fort Cherry School District.

I verify the information provided in this form has been completed by the parent listed at the top fo this form. (Type name on line as legal signature.) *

提交

清除表单内容

切勿通过 Google 表单提交密码。

此表单是在 Fort Cherry School District 内部创建的。举报滥用行为

表单