DPSD Food / Nutrition Services

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Deer Park School District will offer a breakfast and lunch meal throughout the extended school closure (with the exception of the week of Spring Break - April 6th through 10th). Meals will be distributed from buses parked in front of each distribution location and, starting Monday, March 23rd, also at remote distribution locations. Meals will be available for pick up from 11:00am - 12:00pm. The following are the school distribution centers: Deer Park Elementary, Deer Park Middle School, and Deer Park Home Link. Remote distribution locations will be published soon. Please complete this form to provide us with the information necessary to supply ample meals and to determine remote delivery locations.

Parent/Guardian Name *

Home Address (this will help us determine remote distribution locations) *

Parent / Guardian Phone Number *

How many qualified meals (Age 1-18) in your household? *

Do any of the children for whom we are providing lunch have dietary restrictions? *

Yes (If yes we will contact you for more specific information)

Would you prefer to pick up the "grab and go" sack via bus delivery at designated remote locations or at one of the school locations?

One of the school locations

Designated remote locations (times and locations to be posted on the website)

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of dpsdmail.org. Report Abuse

Forms