2024 Lunch Assistance Form
If you would like the library to provide your kiddo(s) with a snack and lunch, answer the questions below & click "SUBMIT". Once the form is submitted, your child's name will be automatically added to the lunch list for this week. Please fill out the form each week that you require assistance. 

We can accommodate gluten-free, and dairy-free diets. We cannot accommodate nut-free diets. If you would like ingredient information for the food we provide for gluten-free & dairy-free diets, please email your questions to ebohm@mancoslibrary.org.

Snack provided: A Granola Bar, Goldfish Crackers & Apple Slices
Ingredients - Granola Bar: Whole grain oats, sugar, canola and/or sunflower oil, rice flour, honey, salt, brown sugar syrup, baking soda, soy lecithin, natural Flavor
Ingredients - Goldfish Crackers: Enriched wheat flour, cheddar cheese, vegetable oils, salt, yeast, sugar, paprika, spices (celery, onion powder, monocalcium phosphate) baking soda.
Lunch Provided: A Peanut Butter & Jelly Sandwich and a Cup of Trail Mix
Ingredients - Bread: Whole wheat bread, whole wheat flour, water, yeast, brown sugar, wheat gluten
Ingredients - Peanut Butter: Roasted peanuts, sugar, hydrogenated vegetable oil, salt
Ingredients - Jam: Strawberries, sugar, water, fruit pectin, citric acid, locust bean gum, potassium sorbate, calcium chloride, red 40
Ingredients - Trail Mix: Peanuts: Sea salt, sugar, corn starch, maltodextrin, corn syrup, smoked torula yeast, paprika, spices (garlic & onion powder). Dried Fruit: raisin, pineapple, banana, papaya, cranberries, sugar, vegetable oil, sunflower oil, coconut oil, calcium chloride, citric acid. May contain: peanuts, tree nuts, soy, milk, wheat, sesame
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1. Child's Name (one child only) *
2. Child's age
*
Please list dietary allergies or restrictions. If N/A, please leave blank.
We can accommodate gluten-free and dairy-free diets. We cannot accommodate nut-free diets.
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