December Holiday Food Basket Interest Form

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December Holiday Food Basket Interest Form

Please answer the following questions regarding the 2021 December Holiday Food Baskets.
***Food pick-up will be on Wednesday, December 22 from 3:30-4:30 pm.

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* Indicates required question

1. What is the full name of your child(ren)? *

Your answer

2. What grade is your child(ren) in? *

6th

7th

8th

Required

3. What is your name? *

Your answer

4. What is a good phone number if we need to contact you? *

Your answer

5. Will someone in the family be able to pick up food at Lebanon Middle School on 12/22/21 from 3:30-4:30 pm? *

Yes

No

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