Andes Central Food Program Interest Form - Families
We are looking at starting a food program to send home snack packs to students 2 weekends per month. This form will let us know how many students we should expect to participate so we can move forward with the details on funding and distribution of the Snack Packs.
This information will be kept confidential and only be used to help fulfill the needs indicated for the Snack Pack Program. 
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What is your name? *
What grade(s) is/are your Andes Central student(s) in? *
Required
What is/are your Andes Central student(s) name(s)? *
Would you like your Andes Central student(s) to be part of our food program and get a bag of food for the weekend 2 weeks a month? *
If you have any food alergies in your house, please tell us here:
If there's anything else you'd like us to know, please type it below.
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