Summer Snacks & Lunches Application FormSummer Snacks & Lunches Application FormHelping ensure every child has access to nutritious food all summer long.Parent/Guardian InformationFull NamePhone NumberEmailMailing AddressIncomeChild/Children Information(Please complete for each child you're applying for)Child #1Full NameAgeAllergiesChild #2Full NameAgeAllergiesChild #3Full NameAgeAllergiesChild #4Full NameAgeAllergiesChild #5Full NameAgeAllergiesChild #6Full NameAgeAllergiesProgram NeedsProgram Snacks Only Lunches Only Both Snacks & LunchesSpecial Notes or RequestAnything else we should know to better support your family (e.g., specific needs, storage limitations, etc.)?Special Notes By submitting this form, I confirm that I am the legal guardian of the child(ren) listed above and understand that food distribution is based on availability.Submit Form