July 6 - Meal Request

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Please sign up by SUNDAY if possible!

Meals are available for children in your household 18 years old and younger.

Each child will receive 5 breakfasts and 5 lunches every week.
Each child will need to be registered separately.

THIS INSTITUTION IS AN EQUAL OPPORTUNITY PROVIDER.

Email *

Your Name - First and Last *

Phone Number *

FIRST NAME of Child *

LAST NAME of Child *

ALLERGIES/RESTRICTIONS

Where will you pickup the meals? *

Does this child receive USDA meals from another source, such as child care or BGC? *

A copy of your responses will be emailed to the address you provided.

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