Lunch Survey
Somers Public Schools will be providing a "grab and go" breakfast/lunch bag to all students.  If you find yourself in need and wish to access this service, please fill out the survey so that we can make enough meals to feed students.  Distribution will be on a Mondays, Wednesdays and Fridays commencing Monday, March 23rd.  Food will be distributed at SHS from 9AM-11AM.
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Your Name *
What is you House Address Number? *
Apartment Number (if applicable)
What is your street? *
How many students will be receiving a meal? *
What is the best phone number to reach you? *
Student 1 - First Name
Student 1 - Last Name
Student 1 - School
Student 2 - First Name
Student 2 - Last Name
Student 2 - School
Student 3 - First Name
Student 3 - Last Name
Student 3 - School
Student 4 - First Name
Student 4 - Last Name
Student 4 - School
Student 5 - First Name
Student 5 - Last Name
Student 5 - School
Submit
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