GOT LUNCH! Inter-Lakes
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Parents Name(s): *
Address: *
Where will we be dropping off your bag(s) of Got Lunch! food?
Contact Telephone Number: *
Email (if available): *
Students Name: *
Please list all children who will be participating in this program, their date of birth and their gender.
Food Allergies? *
If your child has any food allergies please list them here.  If they do not, please respond by telling us "none."
Please Note:
Special considerations we may need to know about delivering food to your address between 9 AM and 12 Noon on Monday mornings?  Animals?  Special Instructions?

Your signature below waives all liability from your family's participation in this program and all of the program's sponsoring and collaborating partners.
Signature and Date: *
Your electronic signature and submittal of this form is consent for your participation in the GOT LUNCH! Inter-Lakes Program.  You may also print off this form and send it into school with your child.
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