Meal Program Registration

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Meal Program for children age 6-18. They are all welcome to either eat with us or pick up and go. Please register below.

If eating on site please make sure you arrive by 5:40pm.

Grab and go begins at 6:00pm.

Student's Name *

First

Last
Student's Birthday *
Student's Age *
Student's Ethnicity *
Parent/Guardian's Name(s) *

First

Last
Address *
Parent/Guardian's Main Phone *
Check which one your child will participate in *
Which days will your child be participating? *

Hold cntrl button to select multiple answers

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