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Food Assistance 2022-2023
Please fill out the questions if you would like to receive food assistance this year. Reach out to the office or Haley Schooler with any questions (385-646-8465)!
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* Indicates required question
Email
*
Your email
Parent (First Name)
Padre o Madre (NOMBRE)
*
Your answer
Parent (Last Name)
Padre o Madre (APELLIDOS)
*
Your answer
Phone Number
número de teléfono
*
Your answer
Student (FIRST NAME)
Estudiante (NOMBRE)
*
Your answer
Student (LAST NAME)
Estudiante (APELLIDO)
*
Your answer
Teacher
Profesor
*
Choose
Flitton (Kindergarten)
Barton (Kindergarten)
Brain (Kindergarten)
Rustad (1st)
York (1st)
Clyde (1st)
Ford (2nd)
Halcomb (2nd)
Burnett (3rd)
Maez (3rd)
Blau (4th)
Forbyn (4th)
Sonntag (4th)
Broadhead (5th)
Thomas (5th)
Does your student have any siblings at Taylorsville Elementary?
¿Tiene su estudiante algún hermano en la escuela primaria Taylorsville?
*
Yes
No
If "Yes", what is their sibling(s) name?
En caso afirmativo, ¿cómo se llama su(s) hermano(s)?
Your answer
How many members in your family?
¿Cuántos miembros tiene su familia?
*
2
3
4
5
6
7
8
9
10
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12
13
14
15
Other:
How many under 18 years old?
¿Cuántos menores de 18 años?
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1
2
3
4
5
6
7
8
9
10
11
12
13
Other:
How many older than 18 years old?
¿Cuántos son mayores de 18 años?
*
1
2
3
4
5
6
7
8
9
10
11
12
13
Other:
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