AVHS Every Meal Enrollment Form

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• Free for all families

• This sign up is only for Apple Valley High School students

• No qualifications required for enrollment
• Students will receive a 4-5 pound bag of nonperishable food each week

• 1 bag per AVHS student is sent home

• please fill out separate enrollment forms for every student that attends AVHS
• Every Meal organization does not collect information from families; Information provided is used only for bag delivery
• Families may enroll in the program anytime throughout the school year

Name of Parent or Guardian *

Student's First and Last Name *

What type of bag do you want? All bag types contain 4-5 pounds of non-perishable food, including a variety of fruits, vegetables, proteins, grains, and soups/entrees. *

Orange Bag: Tailored for Latino dietary preferences. This bag may contain items such as rice, black beans, pinto beans, corn flour, fideo pasta, enchilada sauce, chipotles in adobo, and diced chiles.

Purple Bag: Tailored for Southeast Asian dietary preferences. This bag may contain items such as rice, rice noodles, coconut milk, bamboo shoots, curry paste, green beans, and mandarin oranges.

Yellow Bag: Contains all ready-to-eat items which require little or no preparation, such as dried fruit, tuna salad, chicken salad, sunflower seeds, granola, oatmeal, and soups.

Green Bag: This bag offers the widest variety of food items, such as chicken, tuna, pasta, rice, mac and cheese, chili/soup, and varied vegetables and fruits.

Blue Bag: Tailored for East African dietary preferences. This bag is pork-free and may contain items such as tuna, spaghetti, black eyed peas, corn flour, fava beans, and tomato products.

How do you want to pick up your bag? *

My student will pick up the bag in Student Services on Thursdays

An adult will pick up the bag from AVHS on Thursdays

I understand it is my responsibility to tell my student that I have signed up for this program. *

I understand

Required

I understand that if our bag are not picked up for 4 weeks, then my student will be exited from the program. If exited from the program I understand that I can rejoin and begin receiving a bag again at anytime. *

I understand

Required

What is the best way to contact you for bag pick up reminders and special pick up times before school breaks? *

phone call

text

What is the best phone number or email address for contact? *

Submit

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