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Back Pack Pals: ACS
Parents please complete all items below to request Back Pack Pal weekend food for this school year. (21-22)
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Email Address *
Student(s') Name *
School Name *
Teacher/Grade *
Parent/Guardian Name *
Home Address and Zip Code *
Phone Number *
Do you have a microwave? *
Do you have a can opener? *
Does your student have any allergies? Yes/No. If Yes, to what? *
Yes, I'd like my student to participate. Please type your name in the answer blank as permission to receive the BPP's. *
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