August 2016
Dear Parents/Guardians,
Welcome to our weekend backpack program! We hope that you find this assistance to be beneficial to you and your family. We will be providing and distributing weekly backpacks filled with easy to prepare foods and drinks for each child in the family. The program will work as follows:
· Each child in the family will be given a backpack for the school year
· On Friday of each week the child will pick up their filled backpack at dismissal
· The child must return the backpack to the main office no later than Wednesday of the following week so that our volunteers can refill them
· Backpacks will not be supplied during the weeks of school vacation
To ensure that the program continues throughout the year, it is vital that the empty backpacks be returned each week. In addition, it is important to specify if your child has any food allergies or illnesses that we need to be aware of. We try to accommodate all allergies and dietary needs to the best of our ability.
Attached you will find our sign-up sheet which must be filled out for each child in the family who will be receiving a backpack. Please provide an e-mail address as we communicate any updates or changes in the program via email. We look forward to assisting you and your family. Should you need additional information please call or email Nancy Carlson at 860-676-2323 or
Weekend Food Backpack Program
Information Sheet 2016-2017
*Please fill out one form for each student in the program
Student Name: ______
Parent/Guardian Name: ______
Address: ______
City/State: ______
Phone Number: ______
Email: ______
School: ______
Grade: ______
Child’s Date of Birth: ______
Food Allergies: ______
Gifts of Love and Community Farm of Simsbury, Inc. is a non-profit agency which is simply providing, clothing, household goods, and furniture to people in need. We make no warranties or guarantees as to the quality or safety of the goods provided to you or your family.
We disclaim all liability which may result from the consumption of food or use of any items you receive from Gifts of Love and Community Farm of Simsbury. This disclaimer includes, but is not limited to, sickness, injury, or death caused by the acts of the donor of these products.
______
Parent/Guardian Signature Date