Summer Feeding Meal Sign-Up Form

Summer Feeding Meal Sign-Up Form
This form will allow parents to sign-upfor meals under the Summer Feeding Program that has been extended throughDecember 31, 2020. Meals can be provided to any child age 18 and under livingin Morgan County. The parent/guardian picking up meals must provide thechild/children's name(s) to receive meals.
What school is closest to your residence?
What is your child/children's names and ages? (Last Name, First Name, Age)
Last Name, First Name, Age
If someone other than the legal parent/guardian has your permission to pick up the meal boxes, please list their names below. We will not release meal boxes for your child(ren) to anyone not listed on this form.
I understand that I need to pick up the requested meal box(es) at my pick-up school’s designated day/time, which will be communicated through the county website, school info app or other forms of communication. By signing this form you agree to pick up meals, failure to do so may cause you to be removed from the meal list.
Parent Name:

First Name Last Name
Parent Email:
example@example.com
Parent Phone:
Parent Signature:

Clear
Today's Date:

Month Day Year
Date
Should be Empty: