FREE Lunch Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

FREE Lunch Survey

Bloomfield Community School is needing your help to complete this survey to help us see if this need exists in our community at this point and throughout this COVID-19 shutdown. The Bloomfield Community School is looking at the opportunity of applying for some aid to possibly offer FREE lunches for all children AGES 1-18. Please help and complete this short 2 question survey.

Sign in to Google to save your progress. Learn more

* Indicates required question

Name *

Your answer

Are you interested in a FREE lunch for my children, ages 1-18? *

Yes

No

Please select the number of children that are ages 1-18 that live in your household: *

1

2

3

4

5

6

7

8

No

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Bloomfield Community Schools. Report Abuse

Forms