In an effort to help us plan our summer meal service accordingly, please note if you intend to utilize these free meals for children and teens 18 and under this summer.

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* 1. Parent/Guardian's Name:

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* 2. Phone Number:

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* 3. These meals are free for children and teens age 18 and under. How many children do you anticipate picking up meals for? Please do NOT include children that are attending Summer Camp at Collins or KidsClub at RecCom.

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