*1.Do you wish to participate in the Breakfast/Lunch Program on March 31?(Required.)

Yes

No

2.How many meals do you need for your children enrolled in the Platte-Geddes School District and where will you pick up the meals. 

1 @ PG Elementary

2 @ PG Elementary

3 @ PG Elementary

4 @ PG Elementary

5 @ PG Elementary

1 @ Geddes Grocery Center

2 @ Geddes Grocery Center

3 @ Geddes Grocery Center

4 @ Geddes Grocery Center

5 @ Geddes Grocery Center