Greene County School Distribution Form
Please fill out this form completely so we can use it to check off your family as they pick up food at your school distribution. We use this form to adequately plan the distribution to serve the number of families that plan to attend the distribution.

Por favor complete este formulario por completo para que podamos usarlo para marcar a su familia mientras recogen alimentos en la distribución de su escuela. Usamos este formulario para planificar adecuadamente la distribución para atender al número

(If you need a translation of this form email in the language you speak and we will will assist you in your preferred language) The calendar for distributions can be found here:
Name of Person picking up food (One person must be present from each household if a car is picking up from more than one household) Nombre de la persona que recoge los alimentos (debe estar presente una persona de cada hogar si un automóvil está recogiendo en más de un hogar) *
Which distribution are you attending in January? (Please choice one to attend) ¿A qué distribución asistes? (Elegir uno) *
Contact info (phone number or email address) Información de contacto (número de teléfono o dirección de correo electrónico) *
What County do you live in? ¿En que país vives? *
How many adults live in your house? ¿Cuántos adultos viven en tu casa? *
How many children live in your house? ¿Cuántos niños viven en tu casa? *
Please name one school that your kid(s) attend(s). ¿A qué escuela asiste su hijo? *
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