Weekend Food Bags
The Awake Community Coalition is providing a weekend food box program for children in need of weekend food assistance this school year. Children must live in the Anthony Wayne School District or have a parent that works in the Anthony Wayne school district to receive a weekend box. If you would like your child/children to receive a weekend box, please fill out the registration form below. You MUST be registered to receive food. Once you have registered your student(s) we will have a “Weekend Box” ready for you to pick up at Waterville Community Church located at 8217 Dutch Rd. on Fridays from 9am-10am OR if you choose, your Childs weekend box will be delivered to school and sent home with them. Each box contains breakfast, lunch, fruit and snack items for the weekend. If you have any questions, please email
Number of children in your home who would like a weekend box?
Please list the first and last name(s) of your child/children, their grade, and building they attend.
How would you like to receive your Child's food box?
I will pick it up on Friday's at Waterville Community Church
Please send home with my child from school
I need to make special arrangements
If you chose to have your Child's bag sent home with them from school, on the current hybrid school schedule which days does your child (children) attend
Parent/Guardian Contact Info
Daytime Phone number
Preferred contact method
Questions and comments
Never submit passwords through Google Forms.
This form was created inside of awawake.org.