2021-2022 Knight Pack Program Registration
Please complete and submit this form to enroll your child in the Knight Pack Program for the 2021-2022 school year. Please submit this form by May 21, 2021 so we have an idea of numbers for the fall. (Students will still be able to sign up at anytime during the school year, but please sign up early to avoid any delay in delivery in the fall.)

The Knight Pack Program is a free weekend food program available to any student enrolled in Climax-Shelly School. The Knight Pack Program provides kid-friendly, nutritious food for breakfasts, lunches, and snacks for the weekend and longer holiday breaks.

Due to the realities of Covid-19, all deliveries and schedules are subject to change with little notice. More communication regarding how the program will work for the 2021-2022 school year will be shared closer to the start of the school year and will be dependent upon factors such as the current learning model and safety restrictions.

If you have questions, please contact Mrs. Williams
Email *
Child #1 Name: *
Child #1 Grade: *
Child #1 Allergies: *
Child #2 Name:
Child #2 Grade:
Child #2 Allergies:
Child #3 Name:
Child #3 Grade:
Child #3 Allergies:
Child #4 Name:
Child #4 Grade:
Child #4 Allergies:
Parent Name *
Parent Phone Number *
Parent Email (Email is our primary form of communication with families. If you do not have an email address, emails will be sent to your child's school email account.) *
Family Address *
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