*Free Lunch Request
Community Impact Church is providing lunch FREE of charge to youth ages 3 to 18 who live in the College Heights Community. Lunch will be delivered to your address on Saturdays at 12 Noon starting June 6 - July 11, 2020. Please complete this form by Thursday at 5pm of each week to reserve your free weekend lunch. *There are a limited number of lunches available per week. Lunches will be provided based on the order of registrations received.
Email address *
Do you live in the College Heights Community? *
What is your address? *
Please enter your address
How many lunches are you requesting? *
Please only select the number of lunches for children ages 3-18 in your household.
What are the ages of children requesting lunch? *
3-5
6-8
9-11
12-14
15-17
18
Ages
Week Requesting Lunch *
Please only select the number of lunches for children ages 3-18 in your household.
Contact info
Please provide contact information for parent or guardian.
Parent or guardian name *
Preferred contact method *
Required
Phone number *
Sponsorship
This program is supported in part by a grant from United Way for Southeastern Michigan www.liveunitedsem.org
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