Consent for Home Delivery
I give consent to The Journey School to deliver meals to my home during the novel coronavirus (COVID-19) school closure. I understand that household contact information may be shared with school staff for deliverers. I also give consent for meals to be left if no one is home at the time of delivery.

For more information, you may call Shannon Gostchock at 62-389-1579 or email at shannong@thejourneyschool.org.

This institution is an equal opportunity provider.
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Parent/Guardian First and Last Name *
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Total Number of Children Ages 1-18 *
Student 1 Name *
Student 2 Name
Student 3 Name
Student 4 Name
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