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Weiss Food Pantry 22-23
Please complete to be a participant in the Weiss Food Pantry / Complete para participar en la despensa de alimentos de Weiss
* Indicates required question
Email
*
Your email
Parent Name / Nombre del padre
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Your answer
Telephone Number / Número de teléfono
*
Your answer
Student Name/ Nombre del estudiante
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Your answer
Address/ Dirección
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Your answer
Household Income/Ingreso Familiar(Year, monthly, or weekly/ *Annual, por mes o por semana)
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Your answer
# in Household/ Número de miembros del hogar
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Your answer
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