Food Service Survey
Please provide the information below with regard to your family's food service needs during this time.
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Email *
Child's School (Please check all that apply) *
Number of Adults in Your Household *
Number of Children in Your Household *
Has your family been accessing our free meal program at Gardner High School during the school closure? *
Is every person in your household able to eat three meals a day at this time? *
Would your family be able to access a nearby bus stop? *
What bus stop is closest to your home? (If known)
Name of Child/Children *
Name of Parent/Guardian *
Address *
Phone Number *
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