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Summer Feeding 2019 Interest Form- Chesapeake
If you are interested in receiving summer meals, please answer the following questions. School Nutrition Services will follow up with you.
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* Indicates required question
Name of Organization
*
Your answer
Organization Address/ address where meals will be consumed
*
Your answer
Contact Name
*
Your answer
Phone Number
*
Your answer
Email address
*
Your answer
Approximate number of participants
*
Your answer
Date(s) of program
*
Your answer
Program operating times
*
Your answer
Meals requested (check all that apply)
*
Breakfast
Lunch
Required
I am able to pick up meals at the following schools (check all that apply):
*
Thurgood Marshall Elementary
Portlock Primary
Oscar Smith High
Crestwood Intermediate
Southwestern Elementary
Camelot Elementary
None of the above
Required
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