Summer Food Service Program Survey
Each Meal Package will include 6 days worth of Breakfasts and Lunches.  We will continue providing meals on Thursday for the following weeks:  July 16, 23, 30 and August 6
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Contact Number *
Email Address *
How many children 18 years old or younger are you planning on picking up meals for? *
Which weeks do you plan on picking up meals for?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Peru Central School.

Does this form look suspicious? Report