Fall 2020 Meal Delivery
The USDA has extended the program of providing free breakfast and lunch for all children 18 and under in the district. All meals will be delivered as a package of meal kits on Tuesday and Friday each week. If you would like to have meals delivered for you children, please fill out this form.
Sign in to Google to save your progress. Learn more
Parent/Guardian Last Name: *
Parent/Guardian First Name: *
Your email address:
What is the best phone number for us to use to reach you? *
Please enter your number in this format: 5184837807
Address of your child(ren)'s residence: *
Will someone be home on Tuesdays and Fridays to accept delivery of the meals? *
How many Malone CSD students age 18 and under do you have in the household? *
If a child in your household has any food allergies, please list them here.
Names (First and Last) of the children who will be receiving meals. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Malone Central School District. Report Abuse