JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Purchase Line - Summer Food Survey 2021
To get an estimate of of summer meal participation, please complete the short survey. Thank you!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
If the meal distribution program returned this summer, would you pick up meals?
*
Yes
No
First Name
Your answer
Last Name
Your answer
Pick Up Location
Purchase Line High School
Cherry Tree - Kinport Assembly of God
Mahaffey - McGee's Mills
Mahaffey - CMA Church
Glen Campbell - American Legion
Clear selection
How many meals needed? Meals are available to anyone under the age of 18.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of plsd.k12.pa.us.
Report Abuse
Forms
