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MEAL DELIVERY CONSENT FORM
This consent form will let us deliver meals to your child's bus stop and will also help us plan for how many meals to prepare.
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Email
*
Your email
Please complete ONE form per household.
(You only need to submit this form ONE time for all children in your household.)
Household Address
*
Your answer
Delivery Address if different (within District boundaries)
Your answer
Number of Children in Household to Receive Meals (age 1-18)
*
Your answer
Names of Children to Receive Meals (list all below)
*
Parent may accept meal delivery for these children without the child(ren) present.
Your answer
Comments/Additional Information
Your answer
By typing your name below, you consent to receive meals delivered to the location noted above. You also agree to accept only one meal delivery per child per day. (Meal delivery includes one breakfast and one lunch.)
*
Your answer
A copy of your responses will be emailed to the address you provided.
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