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Family Meal Box Kits Order Form
Meal Boxes are available to Virtual Learners
Order for Pick-Up on Thursday from 4:30-6:00 and Friday from 10 -11:30
DMS - Town Hall Side Door
Families may receive 1 Meal Box For Each Student
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Total Number of Boxes :
Your answer
Email Address:
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Best Phone Number to reach you at:
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Date of Pick-UP 6/3
Thursday June 3 4:30-6
Date of Pick-UP 6/4
Friday June 4 10-11:30
Date of Pick-UP 6/10
Thursday June 10 4:30- 6
Date of Pick-UP 6/11
Friday June 11 10:00 -11:30
Date of Pick-UP 6/17
Thurs June 17 4:30-6
Student First & Last Name
Your answer
Student # 2 First & Last Name
Your answer
Student # 3First & Last Name
Your answer
Student #4 First & Last Name
Your answer
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