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Summer Feeding Program
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* Indicates required question
How many children do you have in your household between the ages of newborn and 18 years old?
*
1
2
4
5
Other:
Would your household participate in the summer feeding program?
*
Yes
No
Which location would you visit? (Choose one)
*
O.A.PEAY (SWAN QUARTER)
BRACE BUILDING (SCRANTON)
ENGELHARD FIRE DEPARTMENT (ENGELHARD)
FAIRFIELD FIRE DEPARTMENT (FAIRFIELD)
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