OPY Grab N' Go 2025

Thank you for your interest in the Osage Prairie YMCA's Summer Grocery Grab. This program provides ANY child ages 2 through 18 access to nutritious food at no cost to their family.

You only need to sign each child up once to get food through summer 2025.
Parent/Guardian Name *

First NameLast Name
Parent/Guardian email*
Parent/Guardian phone number*
How many children ages 2-18 will get groceries from the Osage Prairie YMCA Grocery Grab?*
What location will you pick up food at on Thursdays?*

Butler (at South Park starting at 4:30pm, June 26-Aug 14)El Dorado Springs (at Wood's Supermarket starting at 4:30pm, July 3- Aug 14)Nevada (at Wood's Supermarket starting at 4:30pm, June 19- Aug 14)Stockton (at Wood's Supermarket starting at 4:30pm, June 26-Aug 14)
First child's info
First Child's Name*

First NameLast Name
Date of birth*
Age as of June 1, 2025*
Children must be ages 2-18 to participate.
Second child's info
Second Child's Name*

First NameLast Name
Date of birth*
Age as of June 1, 2025*
Children must be ages 2-18 to participate.
Third child's info
Third Child's Name*

First NameLast Name
Date of birth*
Age as of June 1, 2025*
Children must be ages 2-18 to participate.
Fourth child's info
Fourth Child's Name*

First NameLast Name
Date of birth*
Age as of June 1, 2025*
Children must be ages 2-18 to participate.
Fifth child's info
Fifth Child's Name*

First NameLast Name
Date of birth*
Age as of June 1, 2025*
Children must be ages 2-18 to participate.
Sixth child's info
Sixth Child's Name*

First NameLast Name
Date of birth*
Age as of June 1, 2025*
Children must be ages 2-18 to participate.
Seventh child's info
Seventh Child's Name*

First NameLast Name
Date of birth*
Age as of June 1, 2025*
Children must be ages 2-18 to participate.
Eighth child's info
Eighth Child's Name*

First NameLast Name
Date of birth*
Age as of June 1, 2025*
Children must be ages 2-18 to participate.
Should be Empty:

First child's info

Second child's info

Third child's info

Fourth child's info

Fifth child's info

Sixth child's info

Seventh child's info

Eighth child's info