Lansing USD 469 District Food Bank
Complete this form to request food from Lansing USD 469 District Food Bank
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Email *
Building(s) Student(s) Attends *
Required
Student(s) Name(s) (first and last) *
Guardian(s) Name(s) (first and last) *
Address
Phone Number(s) *
Email Address *
Number of People in Household *
Food Item(s) Requesting (some items may not be available at time of request) *
Required
Please list any Food Restriction(s)/Allergies, if Applicable
I have Access to, Check all that Apply *
Required
**After requested order is filled, food will be available for pick up at Lansing Intermediate School in the front entryway.**
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