Salina Food Program Summer 26 - WEEKLY form

Thank you for your interest in the Summer Food Service Program (SFSP) in the community of Salina. SFSP provides ANY child ages 1 through 18 access to nutritious food at no cost to their family.

Below you will be given the opportunity to choose which location you would like to have meal(s) provided from this summer. Federal guidelines allow for children to receive no more than 2 meals/snacks a day using SFSP. Please see the short description beside each option. Not all sites are served by Salina Family YMCA. Grab N Go Summer Food Program only picks up at one location for the YMCA.

Please select at which location you will pick up your child's food next week. (Not all are YMCA locations.)

Do you agree to allow our community site to share data in order to best serve food insecurities in our community (Salina)?

Select which location your child will be receiving food. This is a weekly sign-up that will be reset each Monday morning for the following week of service. (For instance: sign up Monday for Friday pick up providing Saturday-Wednesday meals. Program starts May 22.)

You MUST sign up EACH CHILD individually EACH WEEK for this program. Sign-ups begin each Monday morning for the following week.

Parent/Guardian Name.

First NameLast Name

Parent/Guardian email

Parent/Guardian phone number

Child's Name

First NameLast Name

Child's Date of Birth

Age as of June 1, 2026

Children must be ages 1-18 to participate.

Is this child receiving food from more than one Summer Food Service Program to be used on the same day’s meals/snacks? (Children may only receive food from one federally funded food program.)