Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you applied for free or reduced price lunch through school? *

Yes

No

Child's Name *

First Name

Last Name

School Name *

Community Park

Johnson Park

Littlebrook

Riverside

Princeton Charter School

John Witherspoon

Princeton High School

Do we have your permission to verify this information through school? *

If you do not grant permission for us to verify the information with your child's school, we are unable to include you on our program mailing list.

Yes

No