Survey for Free Summer Meals
Dear Parent/Guardian:

Turkey Valley Community Schools will be participating in the Summer Food Service Program. We will be handing out free grab & go meals on Tuesdays and Thursdays beginning June 8th and ending July 29th. Each child will receive a total of 5 days worth of breakfast and lunch. This is available to all children 18 years or younger even if they don't attend Turkey Valley Schools. You will only need to sign up this one time and you can sign up by filling out this form or by calling the Turkey Valley School at (563) 776-6011 and speaking with any of our secretaries.

Our plan is to provide some meals that will be cold lunch with no heating required or frozen precooked meals that can be reheated. Each child is allowed 1 gallon of white milk per week. Milk will be handed out on Tuesdays. This can be a lot of milk for families with multiple children. If you do not have room to refrigerate multiple gallons, please indicate below on question #5 how many gallons you would like to pick up on Tuesday.

We will once again deliver meals to the following locations: Lawler (In front of the library), Fort Atkinson (Community Center Parking Lot), Protivin (Post Office Parking Lot) St. Lucas(Church Parking Lot), and Waucoma (City Park). Parents will need to sign up their children to participate. This program is open to all children ages 1-18. Daycare centers and home daycares unfortunately cannot participate other than for their own children. We are partnering with the New Hampton Food Service Department to provide these meals. If you have any questions, please contact New Hampton's Director of Food Service, Jodi Cerwinske by email at or by phone at (641) 394-2134 ext. 1120 or (641) 330-4363.
Your email *
Child/Children's names to receive meals. *
Parent Name *
Contact Phone Number *
Choose a location to pick up meals. We're planning to follow a schedule similar to last spring.
Clear selection
Do you want milk? *
If you answered yes to wanting milk, how many gallons would you like to pick up when they are delivered on Tuesdays. *
Any special dietary needs or allergies?
Never submit passwords through Google Forms.
This form was created inside of Turkey Valley Community School. Report Abuse