Picnic in the Park Registration Form

Grab-N-Go Meal Box Registration

FISH will be giving out free meal boxes this summer to each child 18 or under who would like one. Each weekly box will contain 7 breakfasts and 7 lunches. Please register your child(ren) once so we can plan how many boxes to bring to each site.

Please note, if you pick up a 7 day meal box, your child is not eliglbe to eat lunches at one of our daily sites. Each child can only have one breakfast and one lunch per day and the boxes cover the whole week. They are welcome to bring their lunches to any of our sites to participate in activities available there.

This information will only be used by FISH.

Parent/Guardian Information

Number of Children (All children 18 or under qualify). We will prepare one box for each child registered.

Parent's Name*

First NameLast Name

Parent's Birth Date*

MonthDayYear

Parent's primary Phone Number*

Parent's E-mail

example@example.com

Which Site would you like to pick up the boxes at (only choose one site)?*

Auvil Fruit Company (Thursdays 12:15 - 1:00 pm)Easton School (Thursdays 11:00 - 11:45 am)Millpond Manor (Wednesdays 1:00 - 1:45 pm)Roslyn Pioneer Park (Wednesdays 11:15 am - 12:00 pm)Rotary Park (Tuesdays 12:45 - 1:30 pm)Thorp School (Thursdays 1:45 - 2:30 pm)Vantage Mobile Park (Thursdays 10:45 - 11:15 am)

Type a question*

I acknowledge that the meals are intended for children in my household or under my care. I will pick up meals only for children 18 years or younger. I will not accept more than one lunch and one breakfast per day for any child in my care including any meals being served at other sites under the USDA Child Nutrition Programs.