JVSD Free Meal Registration Form

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For those children age 18 and under who do not attend our schools (pre-school, private school,charter school, home school)

Parent Last Name

Parent First Name

Are you interested in participating in the JVSD Free meals for ALL Children Program? Each child will receive 2 meals (One Breakfast and One Lunch) for each instructional day in each week. (Example: In a 5-day week each child will receive 10 meals, 5 breakfast meals and 5 lunch meals)

Yes

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Please indicate the number of children in your home age 18 or under.

6 or more

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Weekly meals can be picked up at high school cafeteria service entrance on Monday afternoon at 2:00 PM.

This door is located at the rear of the high school building between the district office and auditorium entrances.Please park behind the auditorium and form a line (following current social distancing guidelines) outside the service door.

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