Calhoun County Home Delivery
Meals During Virtual Learning
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Email *
I give my consent to CCSS to deliver meals to my house during the pandemic. *
Required
Address *
Phone number to be reached *
Email Address *
Number of eligible children in the household ATTENDING CCES?                                                 *
Number of eligible children in the household ATTENDING CCMS?                                                 *
Number of eligible children in the household ATTENDING CCHS?                                                 *
Digital Signature of Parent/Guardian *
Date *
MM
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DD
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YYYY
For more information, please call Food Service Director, Priscilla Johnson, at 229.310.1519 or email priscillajohnson@calhoun.k12.ga.us
USDA programs are prohibited from discriminating on race, color, national origin, sex, or disability.
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