Story Medical Center – Grab & Go Summer Meals

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Story Medical Center – Grab & Go Summer Meals

Complete the confidential form below to join our FREE Summer Meal Program for children and teens 18 and under.

Grab and Go meals are available each Tuesday and Friday from June 2nd through August 21st, 2026. You will receive enough meals for a week.

Be sure the COMPLETE EACH SECTION and SUBMIT your order when complete.

Email *

Parent/Guardian First Name

Last Name *

Please include the AGES of EACH CHILD 0-18 years old in your household. *

Dietary Restrictions (Food Allergies, Gluten Free) Please list restrictions and number of restricted meals needed.

Phone number (Including area code):

Pick Up Location - PLEASE SELECT ONLY ONE *

11:00-11:20 AM at Rolling Hills Mobile Home Park (office at Lot 119), 31100 653rd Ave., Maxwell: June 2 through August 21 on Tuesday & Friday

11:30 AM-Noon at Collins/Maxwell High School (main parking lot), 400 Metcalf St., Maxwell, June 2 through August 21 on Tuesday & Friday

12:15-12:45 PM at Collins/Maxwell Elementary School (main parking lot), 416 4th Ave., Collins on June 2 through August 21 – Tuesday & Friday

Required

Please indicate ANY DAYS or WEEKS you will NOT need meals.

If you’d like any additional information on Story Medical Center, Clinics, Senior Care, physicians or services, please comment below and we will have that information available throughout the summer.

This institution is an equal opportunity provider.

A copy of your responses will be emailed to the address you provided.

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