Family Food Survey
As a District, we are committed to finding a method of providing families with nutritional needs access to food during this closure. We would appreciate it if ALL families could fill out this survey so that we can plan to meet the needs of families in our larger school community.
Sign in to Google to save your progress. Learn more
Email *
What is the last name of your student? If you have more than one child, please list each child's last name if they differ. *
How many school aged children live in your household? *
Do you wish to have the District provide you with meals during the school closure? *
Does your family receive food through the "backpack" program? *
Would you like to continue receiving food through the backpack program? *
Does your child have any food allergies that we should be aware of?
Clear selection
If you answered yes to the previous question, please indicate what allergies we should be aware of.
If you wish to receive food, please provide your physical address (not your mailing address unless they are the same).
If your child takes a bus, what is the name of the driver?
If your child takes a bus, what is the bus number?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of MSAD #72. Report Abuse
Google Forms