July Summer Food Program
Please fill out the form for the days that you would like to request meals for the Summer Food Program. Counts for the day are requested to be submitted by the Friday prior to the delivery week. If you need to cancel meals please contact the school at (563) 532-9353.
First Name *
Last Name *
Contact number *
At which site will you pick up meals? Meals will be available between 12:00-12:30pm on Mondays and Wednesdays. *
Does your child have a food allergies? If so, please list name and allergy. *
Monday, July 5 (Number of children under 18 needing meals)
Clear selection
Wednesday, July 7 (Number of children under 18 needing meals)
Clear selection
Monday, July 12 (Number of children under 18 needing meals)
Clear selection
Wednesday, July 14 (Number of children under 18 needing meals)
Clear selection
Monday, July 19 (Number of children under 18 needing meals)
Clear selection
Wednesday, July 21 (Number of children under 18 needing meals)
Clear selection
Submit
Never submit passwords through Google Forms.
This form was created inside of St. Teresa of Calcutta Catholic School. Report Abuse