Weekly Food Bag Request
The Pawtucket Backpackers is a local non profit, volunteer led organization that works with schools to send bags of food home with students each week to help provide a little extra food in the house.  Use this form to sign up to request your child to be sent home with a bag of food (one per child in the household) put in their backpack each week.  
Sign in to Google to save your progress. Learn more
Email *
Parent Name: *
Parent Phone: *
Child #1 Name (Agnes Little Student): *
Child #2 Name (Agnes Little Student): *
Child #3 Name (Agnes Little Student): *
Total Number of Children in the Home (this will be how many bags to send home)
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pawtucket School Department. Report Abuse
Google Forms