Summer Lunch Check- In

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Summer Lunch Program Integrity Check

Thank you for participating in our Summer Lunch Program! To help us meet state guidelines and ensure that meals are distributed fairly, we ask that you please complete this short form each time you pick up food.

This form helps us track distribution and prevent duplicate pickups. Your cooperation supports our continued ability to provide free meals to the community.

Thank you for your honesty and support!

Which site are you picking up your meal from today? *

Elementary School (11:30 AM - 12:30 PM)

Oskaloosa Elementary (5:30 - 6:15 PM)

Middle School

Webster

University Park Community Center

Oskaloosa Public Library

Friends

Oldest Child under 18 Participating: Full Name *

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