Mason Consolidated Schools Summer Breakfast/Lunch Program
Please take note that if you have multiple children needing meals, you will need to complete a survey for each child. As always, should you have any questions please contact Mr. Shaw at 734-848-9304 or
Child's Last Name *
Last Name of child receiving meals
Child's First Name *
First Name of child receiving meals
Date of Birth of Child *
Phone Number *
Address *
Pickup Site *
Email Address
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