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
Next
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