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Got Lunch! Inter-Lakes
2023 Application
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Email
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Your email
Parent's/Guardian's Name:
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Your answer
Physical Address: (Where we will be dropping off your bags of GotLunch! food. Please provide any directions that will make it easier for our drivers to find you!)
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Your answer
Contact Phone Number:
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Email Address (if available):
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Student Name (#1) and date of birth:
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Your answer
Student Name (#2) and date of birth:
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Student Name (#3) and date of birth:
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Student Name (#4) and date of birth:
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Food Allergies?: (if any child listed above has a food allergy, please explain below. If there are no food allergies, write "NONE"
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Please use this space to advise if there are any "special considerations" we may need to know regarding delivery of food to your address between 9:00 a.m. and 11:00 a.m. on Monday mornings. For example: animals? special drop off instruction? other information?
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Signature: by submitting your name below you are signing this document:
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Date you filled out this form:
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For more information please contact Tom Witham at 603-707-2872 or at
tom.witham5@gmail.com
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