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Food Backpack
Please respond to the questions below if you would like to receive a food backpack every week.
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* Indicates required question
Your name:
*
Your answer
Student Name:
*
Your answer
School Year
*
Your answer
What campus(s) do your child(ren) attend?
*
Riverside West Elementary
Riverside East Elementary
Riverside High School
Required
Would you like to receive a food backpack each week?
*
Yes
No
Number of people in your household.
*
Your answer
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