DCR1 Meal Delivery Permission and Internet Survey
As you know, DCR1 is providing free breakfast and lunch to ANY child living in the school district up to age 18 while schools are closed due to the COVID-19 pandemic. The district is required to get permission from parents and guardians to deliver meals to homes. Please complete the following few questions to give us permission to continue to provide meals.

Also, please answer the additional question about your access to the Internet. Thank you for your support.
Parent/Guardian Name *
Does your home have Internet access? *
Would your children like to receive free breakfast and lunch meals? If no, you may skip the remaining questions. *
How many children will participate (children up to age 18 are eligible).
Clear selection
What are your students' names?
Please indicate your preference of receiving meals.
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