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* 1. Name of your organization

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* 2. Address where you will be serving lunches

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* 3. Approximately how many children will you serve?

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* 4. Email address

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* 5. phone number

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* 6. Site Supervisor

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* 7. Alternate Supervisor

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* 8. Email address for alternate site supervisor

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* 9.  phone number for assistant site supervisor

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* 10. Email for assistant site supervisor

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* 11. Serving Time breakfast

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* 12. Serving time lunch (must start 3 hours after breakfast; i.e. 8:00 a.m. breakfast then lunch is 11:00 a.m.

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* 13. Supper time (Lunch & Supper is not allowed, this is the only combination that is not allowed)

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* 14. What date will your program begin?

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* 15. What date will your program end?

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* 16. Will you be open on the 4th of July?

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