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

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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? (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) *
Do we have permission to contact you via the email or number you provided?  ¿Tenemos permiso para comunicarnos con usted a través del correo electrónico o el número que proporcionó? *
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? *
How many of your children attend an elementary school? *
How many of your children attend a Middle School?  *
How many of your children attend a High School?  *
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