KSD NOW Registration 2021-22
Kirkwood School District offers the KSD N.O.W. program to supply an array of nutritious, non-perishable meals and snacks for children experiencing food insecurity, free of charge.  During the 2021-22 school year, boxes will be distributed to families at their homes via delivery in a discrete and caring manner once per month.

If you wish for your child(ren) to participate in the program, please complete the form below.  Only one form is needed for all the school-aged children in your family, but please include information for each child on the form below.  This information is kept confidential.

Once your child is signed up, they will receive boxes of food each month of the school year or until you no longer wish to participate.  If your form is received after the deadline each month, your child will be eligible to participate in the program the following month(s).  

If you have any questions, please contact program coordinator Emilie Lytton at ksdnow@kirkwoodschools.org.  All inquiries will remain confidential.

Thank you.

If you have unmet food needs for your family, including older children, babies, and toddlers, please contact KirkCare at 314-965-0406 or dial 2-1-1 for referrals to food banks and social services in your area.

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Parent/Guardian Name *
Parent/Guardian Telephone Number *
Parent/Guardian Email Address *
Preferred method of contact *
Current address (for delivery) *
Please list any special dietary needs (e.g. food allergy, halal, kosher)
Please sign my child(ren) up for KSD N.O.W. By signing below, I consent to my child(ren) receiving a box of food once per month this school year.  In consideration for participation in this program, I agree on behalf of myself and the below listed minor child(ren) to waive, release, indemnify, hold harmless Kirkwood School District, its employees, volunteers, and directors from any and all liability, claims of negligence, injuries, damages, and expenses related to the program or the food involved in the program.  I agree to inspect the food and assume any risk for dietary or food allergies specific to my child included in each package of food.  I understand that this Consent, Waiver, and Release is a condition precedent to participation in this program. *
1st child's name, school, and grade *
2nd child's name, school, and grade
3rd child's name, school, and grade
4th child's name, school, and grade
5th child's name, school, and grade
6th child's name, school, and grade
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