Summer Feeding Outreach Order Form 2024
Complete this form weekly for Outreach Summer Feeding at Lawrence County Public Library. If you have not already registered, please go to our website and complete the correct form. The registration form MUST be completed and approved by library staff  before weekly meal bags can be ordered. These are week long (7 days) food bags that may contain peanut products. The site you register for is the ONLY site that you may pick up from. Any changes must be discussed with the Outreach Coordinator. If you register for the weekly Outreach bags, you may still pick up hot meals from the Library, but you will not be eligible for the weekend bags. For questions regarding Outreach Summer Feeding, contact Tammy Lemaster at (606) 638-4497 ext. 1006.
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Xóa lựa chọn
Parent/Guardian name
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Who will be the pick-up person for the meals? It is required by the USDA that the pick-up person MUST be a parent/guardian, caregiver, or the child. Check ALL boxes that apply.
*
Bắt buộc
What is your phone number?
*
How many meal bags will you be picking up?
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Will you be picking hot meals at Ray Williams villa? If yes, then please check the days.
Which location will you be picking up meal bags for the week of May 20th-24th?
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I understand that it is my responsibility to pick up the meals that I register for, and repeat failure to do so may result in suspension of further services. *
Gửi
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