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Summer Meals Van Delivery Sign Up Sheets 2021
Please use this form to sign up any children 18 years or younger to receive FREE breakfast and lunch daily from June 21, 2021 through August 20, 2021.
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* Indicates required question
Email
*
Your email
What is your email address?
*
Your answer
Where would you like to pick your meals up?
*
Black Mountain Trailer Park
Brooks Memorial Library
Elliot Street Fire Station
Green Street School
Landmark Hill
Ledgewood Heights
Moore Court
Mountain Home Trailer Park
Motel 6
Oak Grove School
Corner of Clark & Canal Street (Portland Glass)
Valgar & South Main
West Brattleboro Fire Department
West Gate
What is your family name?
*
Your answer
How many children will you be receiving meals for?
*
1
2
3
4
5
6
7
Are there any special dietary needs we should know (vegan, vegetarian, dairy free, gluten free, no pork, etc)?
Your answer
Is there anything else you need to tell us?
Your answer
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This form was created inside of Windham Southeast Supervisory Union.
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