Register Your Children for Free Meals This Summer
Parent or Guardian's Name
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Address
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Phone Number
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Alt. Phone Number
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Address
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Childs Name
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Childs Age
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Allergies or Medical Conditions that we need to be aware of (Doctor verification required on allergies, enter "none" if there are none.)
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People who may pick up the child. (Identification required) Enter "no one" if you want to be the only person to pick up the child.
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If the child is allowed to walk or ride their bike home; initial here.
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E-Signature (Fill in your full name here.) Please note that the doors will not open until 11:45 am. Doors will close at 1:00 pm.
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