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Equitable and Edible Free Grocery order form
Please select any items that your family would likeĀ
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Email
*
Your email
Contact name and phone number
*
Your answer
Student name and classroom teacher
*
Your answer
When would you like your order to be ready?
*
MM
/
DD
/
YYYY
How would you like the order to get to you?
*
Send it home with my student
I'll pick it up
Other:
Check all groceries that you would like.
Instant potatoes
Margarine
Ground beef (1# frozen)
Tuna
Hot dogs (Frozen)
Pecans
Applesauce
Black beans
Cereal - Multi grain oats
Canned mixed veggies
Grape Jelly
Peanut butter
Mac and cheese
Quick oats
Mandarin orange (Canned)
Baking mix
Pancake mix
Maple Syrup
Canned pears
Spaghetti Rings
Spaghetti Noodles
Egg noodles
Canned corn
Chicken noodle soup
Tomato Soup
Cream of mushroom soup
Vegetable Broth
Cheddar cheese Shredded
Chicken Nuggets (frozen)
Fresh apples
Onions
Rice
Eggs
Please add any notes to help us pull your order together
Your answer
What would you like to see on our shelves in the future
Your answer
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This form was created inside of ITHACA CITY SCHOOL DISTRICT.
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