Larkspur Food Backpack Program

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Please complete this form if you are interested in enrolling your child in the food backpack program for the 2023-2024 school year. Each Monday your child will receive snacks for the week and each Friday they will receive a bag of food to take home for the weekend. You only need to submit one form for all of your children.

Children's Names *

Parent/Guardian Name *

Parent/Guardian Email Address *

Parent/Guardian Phone Number *

Please choose from the following options: *

I would like my child to participate in the snack program (at school).

I would like my child to bring a food bag home on the weekends.

Both options above

Please list any allergies your children may have:

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