Harvest Kids Registration 2017
Harvest Kids provides 2 sack lunches per week to families in Holliday, Texas. The lunches are delivered by volunteers one time per week.
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Best phone number to contact reguarding food delivery *
Your answer
Delivery Address ( the address you want the lunches delivered to) *
Your answer
Email
Your answer
Special Delivery instructions (ex beware or dog, come to side door, please call first)
Your answer
Have you participated in Harvest Kids before? *
Would you like to have books delivered each week with the lunches? *
Do you need help with school supplies in August? *
Would you like socks and underwear for you child/children at the start of the school year *
Anything else we need to know?
Your answer
Child #1 First Name *
Your answer
Child #1 Last Name *
Your answer
Child #1 age *
Your answer
Child #1 ethnicity (required for Food Bank Paperwork) *
Required
Child #1 Allergy information or special needs(please be specific)
Your answer
Child #1 grade currently in or just completed *
Your answer
Do you need to register another child
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