22-23 Power Pack Enrollment

    The Weekend Power Pack is designed to alleviate hunger issues for Jackson R2 School students.  On the last school day of each week. Students participating in this program will receive a bag filled with nutritious, kid and brain-friendly, foods for the weekend.  There is no charge for participation in this program and student participation is kept confidential.  If you would like your student to participate, please complete the information below. Contact your building Social Worker/Student Services Specialist for more information.


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Email *
Student First and Last Name *
School Building *
Additional Children in the home to participate

 *
Food Allergies- Please list *
Parent/Guardian Name

 *
Parent/Guardian phone number *
Parent/Guardian email address
Does your family have other needs? *
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