Food Service Community Meals Form
WARNING: This form is to be used ONLY for community members age 0-18 years who do not attend school in person or are not a virtual student.

Through Summer Feeding, all children age 0 - 18 years are able to receive a FREE breakfast and a FREE lunch each day. On September 11, 2020, we began with our in person and virtual students. We are now able to extend this service to our community members.

The last day to order is WEDNESDAY, OCTOBER 28, 2020 at 12 NOON.

Pick up will be on Wednesday, Nov 4, 2020, between the hours of 10 am and 11 am
at the Greencastle Antrim ELEMENTARY school, located at 500 E. Leitersburg Street, Greencastle, PA 17225. This is the only site serving the community meals.

Pick up is at the dock area in the back of the elementary building. Please stay in your
vehicle. Someone will be there to take your name.

Five (5) FREE breakfasts and five (5) FREE lunches will be provided for the number
of children you listed on your survey form. YOU MUST complete the survey form
by the date given in order to have meals prepared for you.

A copy of the menu is posted on the school district website:
Go to District, Departments, Food Service, School Menus and choose the "Community Menu". Please note menus are subject to change based on availability.

A copy of your responses will be emailed to
Parent First Name *
Parent Last Name *
Parent's Phone Number *
How many children are you picking up for? *
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