Weekend Meal Packs 2022-23
If you have multiple students, please complete this form separately for each student.  Your information is kept confidential and only used for registration purposes.  
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Parent/Guardian First Name *
Parent/Guardian Last Name *
Email *
Phone *
Student First Name *
Student Last Name *
Grade *
Teacher *
School *
Does your household utilize The Gathering Source (weekly food pantry)? *
If you answered no to the previous question, why not?
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