CAN 2022-2023
Please complete this for in order for your school aged children to receive weekly CAN services.  CAN provides breakfast, lunch and snack items on Fridays for the weekends.
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Email *
Parent Name(s) *
Address *
Phone Number *
Number living in household
Average Monthly Income
Do you have a can opener available? *
Do you have a microwave available? *
Child's First name *
Child's Last name *
First Child's School *
First Child's Grade *
Does this child have food allergies? Explain *
Do you have more children? *
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