Dear Parent or Guardian, Bonner Community Food Bank and Food For Our Children support a weekend feeding Backpack program at Farmin Stidwell Elementary. Each week those students participating in the program receive a pre‐packaged bag of food to take home for the weekend. Each kit includes, but is not limited to, the following items: 2 entrees 1 breakfast cereal 2 fruit and grain bars 2 milks 1 Sunbutter cup 2 Fruit purees, 1 Fruit Strip 1 beef stick 1 bag of pretzels *Items may vary depending on availability. For your child to participate in this program, please sign the parental consent form below. If you have any questions regarding this program, please contact your school’s front office. __________________________________________________________________________________________________
2016‐2017 Backpack Program Parental/Guardian Consent Form I hereby give my consent for my child ______________________________________________ to participate in the weekend food program sponsored by Food For Our Children and Bonner Community Food Bank. I understand my child will receive food weekly as resources permit. If at any time I no longer wish my child to participate in the program, I will notify my child’s school in writing. I understand that it is my responsibility to make sure that my child named above as well as any and all others residing with my child can safely eat the food distributed. I understand that I should consult a medical professional if I have any concerns regarding food allergies and my child’s/families ability to consume any of the food provided. Printed Name __________________________________________________________ Parent/Guardian Signature ________________________________________________________
Backpack Parent Permission form 2016-17.pdf
Page 1 of 1. Dear Parent or Guardian,. Bonner Community Food Bank and Food For Our Children support a weekend feeding Backpack program at.