What is your email address? (necessary for childcare questions) *

Food service is available free of charge to any child ages 0-18. Would you be partaking in a school sack lunch if it is provided? *

If yes, how many children ages 0-18 are in your household that would need a sack lunch?

Will you be able to pick up a sack breakfast/lunch from Todd Road Fire Station, Haydu Park, or the school district? *

If yes, which location would you use? *

Will your student be able to come to one of the three locations to pick up a meal? (We can only provide a sack lunch if the student is seen by staff and verified to be receiving a meal.) *

Do you require child care during the mandated school closure in order to work? *

If offered, would you use the district offered child care? *

Are you a first responder or medical professional requiring child care? *