YADA Meal Service Registration Form
Complete form to add family to the YADA meal distribution site. Location: 1540 Castalia Street Memphis TN, 38114. Call 901-267-4202 for questions and directions.
* Required
Mobile Text Number? We text the menu and meal order form daily.
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Your answer
Date
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MM
/
DD
/
YYYY
Parent / Guardian Name
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Your answer
Email
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Your answer
List All Children As Follows: Child Name - Age - School -
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Your answer
Certification Statement
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I certify that the information on this application is true to the best of my knowledge and I will ensure that meals are distributed to the child or children listed on this application.
I will ensure that meals received will go to the child(dren) listed on this form.
Required
Visit www.yadamemphis.org or call (901) 267-4202 for questions or concerns.
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