Form - Rotary Food Backpack Delivery 2026-27

Rotary Food Backpack Delivery 2026-27

The Food Backpack program from the Delta Waverly Rotary Club is launching again this year! The program runs all year and students can be enrolled at any time. These students will receive a bag of food every two weeks that is made to be discreetly slipped into their backpack. The food is free and there are no eligibility requirements to participate in the program.

Please fill out the registration form below. Note, this information will remain anonymous to our community partners throughout this whole process. The Food Bank will only receive your email if you select the box choosing to receive further resources.

If you have questions, please contact Joy Shantz.

What Waverly building does the student attend?

Student First Name

Student Last Name

Parent/Guardian Name

Email Address for Parent

Phone Number for Parent

Student Home Room

Type of food kit you would like:

Please check this box if you would like to be connected to additional services from the Greater Lansing Food Bank. If you check this box, we will share your email with the Food Bank.

Parent/Guardian: Please sign below by writing YOUR full name to authorize your student to participate in the Food Backpack Rotary program at Waverly Community Schools.

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