Gilford Got Lunch
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Gilford Got Lunch Application form (2018 Summer Program)
*
Indicates required field
Parent's Name(s)
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First
Last
Will someone be home to accept delivery?
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Yes
No
Delivery Address
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Line 1
Line 2
City
State
Zip Code
Country
Contact Phone Number
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Email
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Special considerations we may need to know about delivering food to your address between 9 and 12 on a Monday morning? ie: Animals, specific place to leave bag, etc.
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#1 Child's Name
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#1 Child's DOB (mm/dd/yyyy)
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#1 Child's School
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#2 Child's Name
*
#2 Child's DOB (mm/dd/yyyy)
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#2 Child's School
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#3 Child's Name
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#3 Child's DOB (mm/dd/yyyy)
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#3 Child's School
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Do any of your children have food allergies/dietary needs diagnosed/documented by your child's physician?
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Yes
No
If yes, please list allergies/dietary needs (please indicate for which child)
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By checking the box below you waive all liability from your family’s participation in this program and all of the program’s sponsoring and collaborating partners.
*
I agree to the terms listed above
Your Name
*
First
Last
Submit
Gilford Got Lunch
Home Page
About Us
Register a Child
Volunteer Opportunities