Every Meal Electronic Enrollment Form

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Sign up to receive a free bag of food every weekend.

There are no qualification requirements and your family's privacy is protected.

I give permission for a bag of food to be provided to my child while he or she is at school. By submitting this form, I agree and understand:
- It is my responsibility to remove food items that my child should not consume.
- School staff or volunteers may access my child's locker and/or backpack in order to discreetly place bags of food.
- If my child cannot responsibly transport the bag of food home, I will have to pick up the food at the school or no longer participate in the program.

Parent/Guardian Name

Child Name *

School Name *

Grade

Locker #

Describe the child's backpack (i.e. blue with green zipper)

Families may choose from five options structured around the USDA MyPlate Standards. All bag types contain 4-5 pounds of nutritious, non-perishable food, including a variety of fruits, vegetables, proteins, grains, and soups/entrees. *

Yes**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.

Yes**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.

Yes**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.

Yes**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.

Yes**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.

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