GHMS Back Pack Parent Referral & Permission Form

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Dear GHMS Parents and Guardians,
This year our District will partner with The Fort Mill Foundation and the Second Harvest Food Bank to provide food items to students who are in need during the weekends. If this pilot program may help your family with weekend food supplies, then please complete the form below. Since this is a new middle school pilot program, supplies may be limited. We will do our best to honor your requests. Submit the Permission Form by September 3rd.

Starting on September 10th your child's Grade Level School Counselor or Grade Level Administrator will discretely distribute a bag filled with nutritious food items each Friday during the 2021-2022 school year.

Should you have questions please contact:
Ms. Lisa Ross 8th Grade School Counselor and GHMS Back Pack Program Liaison at 803-548-8311 or rossl@fortmillschools.org
Mr. Marc Wesseling 7th Grade School Counselor at 803-548-8306 or wesselingm@fortmillschools.org
Mrs. Ashley DiMaggio 6th Grade School Counselor at 803-548-8307 or dimaggioa@fortmillschools.org

Parent Name (First, Last) Email, and Phone Number *

Student(s) Name (First, Last) & Grade(s) Please list the names and grades of your student(s) at GHMS. *

Are there other children in your family who attend Fort Mill School District Elementary Schools and need a Back Pack? *

Yes

Are there other children in your family who attend Fort Mill School District High Schools and need a Back Pack? *

Yes

Please list the names and school of any other student in your family who does not attend GHMS but still needs a Back Pack. We will confidentially pass information on to their schools. OR you may reach out to their School Counselors and request support. *

Food Allergies: Please list each child's name and any food allergies they may have. *

Dietary Restrictions: Please list each child's name and identify any dietary restrictions that may exist. *

Questions or Concerns??? *

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