JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
BackSnack/KMO Kanteen food pack Sign-up
If your student has previously been receiving Harvesters BackSnacks (K-6th) or a KMO Kanteen Food Pack (7th-12th) and you would still prefer to receive these packs please complete the below form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student's Name - Please add siblings if needed
*
Your answer
Student's Name - Please add siblings if needed
Your answer
Student's Name - Please add siblings if needed
Your answer
School
Dogwood
Kearney Elementary
Hawthorne
Southview
Kearney Middle School
Kearney High School
Early Childhood Center
Kearney Junior High
BackSnack or KMO Kanteen
BackSnack
KMO Kanteen Food Pack
Which option do you prefer for delivery
*
Pickup at my grab and go meal location
Delivery
Which grab and go meal location would you prefer
Your answer
If you need BackSnacks or KMO Kanteen Food Pack delivered, please provide an address where they should be delivered
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kearney School District.
Report Abuse
Forms
