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Mason Consolidated Schools Summer Breakfast/Lunch Program
Please take note that if you have multiple children needing meals, you will need to complete a survey for each child. As always, should you have any questions please contact Mr. Shaw at 734-848-9304 or
shaw@eriemason.k12.mi.us
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* Indicates required question
Child's Last Name
*
Last Name of child receiving meals
Your answer
Child's First Name
*
First Name of child receiving meals
Your answer
Date of Birth of Child
*
MM
/
DD
/
YYYY
Phone Number
*
Your answer
Address
*
Your answer
Pickup Site
*
Mason High School Pool Entrance
Luna Pier City Hall
Luna Pier Apartments
Hidden Creek 2 Clubhouse
Hidden Creek 1 Clubhouse
Erie K of C
Email Address
Your answer
Special Instructions?
Your answer
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