Resource Pantry Order Form

Resource Pantry Order Form
Please call (918)-888 -5111 or email kcrawford@chelseadragons.net for any questions or to notify when ready for pick up
Name

First NameLast Name
Phone Number
Please select the items you need
Please pick up your food orders during regular school hours:
Monday-Thursday 8:00 a.m. to 3:00 p.m.
Please follow the district school calendar of days in session to know when we will be closed.

Pick up location will be Mrs. Crawfords Office, located at the High School Front entry.
Please select the approximate date and time you will pick up the food.

MonthDayYear
Date
Hour MinutesAM/PM Option
Number of children (0-17) at home
Number of adults (18-59) at home
Number of seniors (60+) at home
Please state that if you have allergies/dietary restrictions
Should be Empty: