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Get Free And Reduced Lunch Application

If you have any questions, or need help to fill this form out, please call the school. Part 1. List each child s information. If the child(ren) has a 3SquaresVT (formally Food Stamp) or Reach Up case number, list the number below, then SKIP TO Part 4 of this form. Do not list a Medicaid number. FULL NAME(S) of student(s) Name of School Grade 3 SquaresVT Case # or Reach Up Case # App. # Part 2 Check here if this application is for a FOSTER CHILD (is the legal responsibility of a welfare ag.

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