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          After-School Program Registration Form
At Feeding Canadian Kids we feed under served Canadian kids dinner to fill their tummies so they sleep well, leading to success in school and healthy futures. This registration form is for interested community-based programs working with kids who have an identified need for a nutritious dinner delivery service. Our  program delivers meals to after school program where meals are distributed to kids in need.
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Email *
Name *
Phone number *
Position *
Name of program *
Address of program *
What is the age range of the kids in your program? (i.e. ages 6 -12)
How many kids are in your program? *
How many children in your after-school program need meals? Please know that we serve all of the kids in our participating programs, we simply ask this as a way to better understand your specific needs. *
Do you currently receive in-kind support for your meal and/or snack program? *
Which days of the week do you need dinner deliveries? *
Required
Around what time would you like dinners to be delivered to your program?
Time
:
Please inform us of any specific dietary restrictions and/or allergies we should be aware of.
How did you learn about Feeding Canadian Kids?
Is there anything else you would like to share with us?
Thank-you very much for registering with Feeding Canadian Kids! Our team will review your information and get back to you as soon as we can.
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