Blessings in a Backpack Sign Up

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Louisburg USD 416 participates in a local Blessings in a Backpack program. The program is designed to provide non-perishable food every Friday to children that would benefit from supplemental nourishment over the weekend. The program runs throughout the school year and there is no cost to participate.

Please complete the following form for EACH student that you would like to participate. Distribution will begin the week following Labor Day in a discreet & caring manner.

Child's full name *

Which school does this child attend? *

Circle Grove Preschool

Rockville Elementary

Broadmoor Elmentary

Louisburg Middle School

Louisburg High School

Other:

Please list child's grade & teacher.

For LMS & LHS, grade only. Thank you!

If you have multiple children to sign up, please submit form and complete again for each child. Thank you!

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