Food Delivery Request Form
In an effort to continue feeding breakfast and lunch meals to all children, Page County Public Schools will be providing delivered meals to homes. All children 18 and under qualify for a free delivered meal - children do not need to be enrolled in Page County Public Schools.

Families will only need to complete this form once to register for food deliveries. Delivery to the address provided will be begin one business day after completion of the form.

Delivery service will begin Tuesday, March 17, 2020 and will take place Mondays through Fridays until further notice.

Children must be present at the time of delivery. Delivery times will be announced.

If you have any questions or concerns, please email Jenny Jeffries ( or call 540-743-6533

We are an equal opportunity provider.
What is the child/children's home school(s). Check all that apply. *
How many children under the age of 18 will be at this address? *
Type the full address of the home for delivery (Street Number and Address, City, State, Zip) *
ex: 735 West Main Street, Luray, VA 22835
List any food allergies
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