I DO want school officials to share information from my Free and Reduced Price School Meals with other programs *
Check all programs that apply: *
Required
If you checked any or all of the above, complete the following form to ensure that your information is shared for the child(ren) listed below. Your information will be shared only with the programs you checked.
List Name of Students:
*
Your answer
Parent/Guardian Signature: *
Your answer
Date *
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/
YYYY
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