HUDDLE AGAINST HUNGER REGISTRATION

PLEASE COMPLETE THE APPLICABLE FIELDS BELOW

WHETHER YOU ARE ASSOCIATED WITH A SCHOOL OR AN ORGANIZATION.

For additional information, visit HFB's Huddle Against Hunger page.

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* 1. School, Homeschool or Organization Information:

Name of School, Homeschool or Organization: *

Address: *

City/Town: *

State/Province: *

ZIP/Postal Code: *

School District:

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* 2. What is your role with this group?

Other (please specify)

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* 3. Contact Information:

Name:

Email Address:

Phone Number:

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* 4. Student participants:

How many students in your classroom(s) will participate in the Huddle Against Hunger program?

Ages:

Grades:

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* 5. Would you like to schedule an on-site food bank tour?

Yes

No

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* 6. Do any of your students require special accommodations for a field trip or for volunteering based on learning difficulties, physical disability or emotional and behavioral difficulties?

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* 7. Were you referred to Huddle Against Hunger by a friend or colleague?

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* 8. If YES, they are eligible to win an autographed item from the Houston Texans! Please list their contact information below:

First Name:

Last Name:

Email Address: