23-24 BackSnacks and Food Pantry Registration
Please fill out this form to sign up for BackSnacks and/or the monthly Food Pantry. Available for K-5th graders. You only need to sign up for BackSnacks once to receive them for the whole school year.  You must sign up each month to receive food pantry bags.  If you have questions, then please contact Jessie Cox at 816-499-8000.
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Parent/Caregiver Name *
Email *
Phone Number *
Student #1 Name *
Student #2 Name
Student #3 Name
Total number of children in your household (ages 0-17): *
Total number of adults in your household (ages 18-64): *
Total number of seniors in your household (ages 65 and up): *
School pantry distributions happen once a month at the school.  The next food pantry distribution will be on Thursday, April 18th 3:30-5:30pm. Families receive about 40 lbs. of fresh produce and nonperishable family-sized items such as pasta, rice, beans, canned fruits and vegetables or canned soup.

The BackSnack program provides a weekly backpack filled with nutritious, child-friendly food for students to take home over the weekend.  * At this time we have reached capacity for BackSnacks. If our supplier increases our delivery we will be able to accept more students.*


You are able to sign up for one or both programs.  You only need to sign up for BackSnacks one time to receive them each week for the whole year.  For food pantry bags, you must sign up each month.

Check the box(es) below to sign up. 
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