Care to Learn- Logan Rogersville            Food Pawpack Enrollment 2022-2023 
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Email *
LR Campus *
Required
Name ( One child per application) *
Teacher/ Grade
Parent/Guardian Name *
Address / Phone Number *
How many adults in your household *
How many children enrolled in LR schools *
Please check the appropriate boxes below:
Any food allergies *
If yes, please list student and allergies 
Are any of your children allergic to any laundry products or bar soap? *
If yes, please list student and allergies:
If you have a female child/teen, does this child need feminine hygiene items?
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Please use the space below to provide any information that might help us better serve your child. 
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