Phoenix Elementary School District #1 Request for At-Home Meal Delivery
In order to support our students', we are offering free home delivery for children 18-years and under who are completing virtual learning. We are only able to deliver meals to children who live within district boundaries. Once your eligibility has been determined, you will receive a delivery confirmation with a date and time. Someone must be home to receive the meals. If no one is home, meals will not be left. To request the delivery of meals, please fill out the information below. Note: only one form is needed per household.

Parent/guardian only need to complete this form one time. Once you complete this form, you will continue to receive meal deliveries until you request to discontinue the at-home delivery service.

The meal deliveries will begin on November 17, 2020. The deadline to request meal deliveries this week is November 10, 2020.
Parent/Guardian First and Last Name *
Parent/Guardian delivery address (i.e. 1817 N. 7th Street, Phoenix, AZ 85006) *
Parent/Guardian Phone number (i.e. 602-222-222) *
Parent/Guardian email address
Please select your preferred method of contact to confirm meal deliveries *
Required
How many children 18 and under attend school virtually in your household? *
Please select below if there are food allergies:
Clear selection
Consent for Meal Deliveries
By signing your name below, you as the parent/guardian of the children listed above, agree to allow Phoenix Elementary School District #1 to deliver breakfast and lunch meals to your designated address. To discontinue at-home meal delivery, please fill out the discontinue meal form.
Parent/ Guardian Signature *
Free and Reduced Price Meal Program: Meals Applications
Did you Know?

◾️ Filling out a meal application helps keep our program at no cost.
◾️ Helps the school district qualify for grants.
◾️ Helps the school district receive additional funding to help children learn.
◾️ Helps households by receiving discounted internet services for those that qualify for free/reduced-price meals.

Apply online at family.titank12.com or request a paper application from your students' school site.
This institution is an equal opportunity provider.
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