Supplies Request Form

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Complete this form in its entirety if you are interested in receiving nonperishable food items; hygiene products and school supplies.

Items will be available for pick up every 1st and 3rd Monday between the hours of (8am-9am & 1pm- 2pm) while supplies last.

Families may receive one distribution per month per child enrolled at AWHS. This is contingent upon available supplies.

Please provide accurate contact information so that we may contact you if necessary.

If you have any questions or concerns please contact the school at 407-521-2358.

Student Name (First, Last) *

Student Number *

Parent/Guardian Name (First, Last) *

Parent/Guardian Phone Number *

Parent/Guardian Email *

Delivery Method *

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