UPLIFT Pine River Kids: Food Backpack Program

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Uplift Pine River Kids is a community supported food program for Pine River students. Uplift’s goal is to supply families/students with extra food on the weekends and holidays during the school year. The bags of food will be delivered to your student’s locker after school. They are placed in the student’s locker by a staff member. Uplift does not know any student’s name. We are just given a number of bags to be delivered to each building. Parents may pick up family members' bags. If you are stretching your budget to purchase food for your family, let Uplift help you. Students in grades 8-12 may receive the traditional bag or a to-go snack bag, or both. Uplift’s goal is to make sure no student goes hungry. Please fill out the form below to apply.

Today's Date *

Parent/Guardian Name: *

Address: Street, City, State and Zip Code *

Contact Phone Number *

Total number in household *

Please provide the first and last name of each child to receive Uplift bags AND list their grade in school. *

Please check the box of the school(s) your child(ren) attend. Check all that apply *

Pine River Area Elementary (grades k-3)

Pine River Area Middle School (grades 4-7)

Pine River Area High School (grades 8-12)

Required

GRADES 8-12 ONLY: Students in grades 8-12 have the option to receive a traditional bag, a snack bag, or both. Please indicate your option for your 8-12 student(s). *

Both traditional bag and snack bag

Traditional bag only

Snack bag only

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