Program Shared Consent Form 2024-2025

To save you time and effort, the information provided on either the Free and Reduced-Price School Meals Application or your family qualified based on Direct Certification with SNAP, Medicaid or Foster, may be shared with other programs for which your children may qualify. For the following programs, we must have your permission to share your information.


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Email *
Parent/Guardian FIRST NAME  *
Parent/Guardian LAST NAME  *
Street Address *
City/State/Zip *

Student's First and Last Name

*

Student's Grade

*
Would you like to add Additional Students who are in your household?
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