School Year 2021 - 22 Gilford Got Lunch Application Form

Gilford Got Lunch Application form (2021-22 School Year Program)

* Indicates required field

Parent's Name(s) *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Phone Number *

Email *

#1 Child's Name *

#1 Child's DOB (mm/dd/yyyy) *

#1 Child's School *

#2 Child's Name *

#2 Child's DOB (mm/dd/yyyy) *

#2 Child's School *

#3 Child's Name *

#4 Child's Name *

#3 Child's DOB (mm/dd/yyyy) *

#4 Child's DOB (mm/dd/yyyy) *

#3 Child's School *

#4 Child's School *

ALLERGY and/or SPECIAL DIETARY NEEDS:
Please understand we are NOT able to accommodate allergies and/or special dietary need requests in our weekend bag program.

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