2020/21 Blessing in a Backpack Registration Form

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Dear Parent(s),

Your child may be eligible to be a recipient of the Blessings in a Backpack program and once the program is implemented, will receive a pack of non-perishable food every Friday during the 2020/21 school year. If your child is currently enrolled in, or if they will be enrolled in the free or reduced lunch program in the upcoming school year at Fairbanks schools, your child is eligible for Blessings in a Backpack. The food package will be dispensed in a discreet and caring manner. This program runs the full school year. There is NO COST associated with this program. If you wish for your child to participate in the program you need to fill out the information needed below. If you have any questions please contact Mrs. Rice at drice@fairbankspanthers.org
Thank you!

Parent Name *

Student Name *

What grade your child currently attend? *

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

Required

Locker Number *

Address *

Phone number *

Does your child have any food allergies? (If yes, please be specific) *

I do want my child to participate in the Blessings in a Backpack program and release my child’s information to the Blessings in a Backpack program. *

Yes

Required

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