Davis Food Pantry 22-23

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Please take a few minutes to complete this questionnaire if your family would like to receive assistance from the Davis Food Pantry. If you check yes to receiving food, a bag of family style items/snacks will be sent home with your child every Friday.

Parent name *

Parent phone number *

Parent email address *

Please list Davis student name(s) and grade(s) *

Would you like food a grocery bag sent home with your child on Fridays? *

Yes

Maybe. I would like more information. Please contact me.

How many individuals reside within your home? *

How many children reside within your home? *

Submit

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