Columbia 2022-23  Power Packs Agreement 
To participate in the 2022-23 school year program, please complete the form below. Note, primary household contact such as email and phone number is required.
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Email *
Power Packs Project is committed to supporting school communities by providing weekly food distribution containing the ingredients needed to make a nutritious weekend meal, along with produce, milk, and some staples for your pantry, such as cereal, rice, pasta, beans, and peanut butter. The Power Packs Project School Year Program will start Thursday, September 22, 2022 and end May 25, 2023.                                                                                                                                                                                                                                                                                                                                                                       
IMPORTANT TO NOTE: DUE TO DISTRIBUTION OF BOXES, ADULT PICK UP IS PREFERRED, OLDER SIBLING (16 +)ACCEPTABLE. STUDENTS ARE ALSO ABLE TO PICK UP IF NEEDED.
First and Last Name of Parent or Guardian *
Home Address *
Mobile Phone Number: *
Race / Ethnicity of Parent or Guardian  *
Education Level of Parent or Guardian  *
First and Last Name of Second Parent or Guardian 
Second Parent or Guardian Mobile Number 
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