Kids Can 2012 School Registration

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County *

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School Name *

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Number of Students Enrolled *

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School Street Address *

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School Mailing Address *

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City *

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Zip Code *

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Foodbank Selected *

Must be from the participating foodbank list at the top of the page

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School Main Contact Name *

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School Main Contact Phone Number *

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School Main Contact Fax Number

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School Main Contact Email Address *

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