A) Provide your contact information. Write your current B) Print and sign your name and C) Mail Completed D) Share children’s racial and ethnic identities address in the fields provided if this information is available. Print the name IWCS On the back of the application, we ask you write today’s date. Form to: (optional). If you have no permanent address, this does not make your of the adult signing the application Student Nutrition, 820 to share information about your children’s race and children ineligible for free or reduced price school meals. and that person signs in the box W. Main St., ethnicity. This field is optional and does not affect your Sharing a phone number, email address, or both is optional, of adult.” Smithfield, VA 23430 children’s eligibility for free or reduced price school “Signature but helps us reach you quickly if we need to contact you. meals.
A) Provide your contact information. Write your current address in the fields provided if this information is available. If you have no permanent address, this does not make your children ineligible for free or reduced price school meals. Sharing a phone number, email address, or both is optional, but helps us reach you quickly if we need to contact you. B) Print and sign your name and write today’s date. Print the name of the adult signing the application and that person signs in the box “Signature of adult.” C) Mail Completed Form to: IWCS Student Nutrition, 820 W. Main St., Smithfield, VA 23430 D) Share children’s racial and ethnic identities (optional). On the back of the application, we ask you to share information about your children’s race and ethnicity. This field is optional and does not affect your children’s eligibility for free or reduced price school meals.
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