Blessings in a Backpack

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

CONFIDENTIAL Registration
A community-based program sponsored by Blessings in a Backpack-Michigan, the Community Foundation of Greater Rochester, the Meijer Corporation and the Avondale Community, Blessings in a Backpack provides students with enough food for three meals a day during the weekend.

If you choose to participate in the program, fill out the quick form below and click the "submit" button at the end. Throughout the school year, your child will receive a bag filled with purchased food for the weekend. Bags will be dispensed at each school in a discrete and caring manner. The simple meals may include items like macaroni and cheese, beef ravioli, canned chicken, canned tuna, granola bars, peanut butter and soup. For you there is NO COST to participate in this program.

Student's First and Last Name *

Student's School and Grade *

List Student's Food Allergies or Enter N/A *

If no other students reside in your household and you are ready to submit, click the first choice below. If you wish to sign up additional students please click the second choice. *

No other students reside in my household, take me to Section 2.

I wish to sign up additional students in my household

Clear form

Never submit passwords through Google Forms.

This form was created inside of Avondale Schools. Report Abuse

Forms