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Parent School Meal Survey (Initial)
Please complete the following survey for each child/household.
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* Indicates required question
Your Full Name
*
Your answer
Primary Phone Number
*
Your answer
Your Child's School of Attendance
*
Your answer
Please indicate your child's grade level
*
K
1
2
3
4
5
6
7
8
9
10
11
12
Select One
K
1
2
3
4
5
6
7
8
9
10
11
12
Select One
Home Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Does your child receive meals from their school?
*
Yes
No
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