Meal Delivery During School Closure
Please complete this form for each student in your household enrolled in the Worth County School District.
Do you want to receive meals during school closure? *
Which Worth County school does your child attend?
Clear selection
Parent/Guardian Last Name *
Parent/Guardian First Name *
Student Last Name *
Student First Name *
Meal Delivery Address (Physical Address Required) *
City *
Zip Code *
Telephone Number *
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