Holiday Hunger Meal Booking Form

We're here to help you through October half term....

A group of businesses lead by PDS Engineering and www.livewelluk.com are helping to provide lunches for children across East Lancashire (Burnley, Pendle, Hyndburn, Rossendale, Blackburn with Darwen and Ribble Valley). If you're a parent or carer who needs some help with lunches in October half term, please complete this form. We will contact you via email and the meals for the week will be delivered on Monday 26th October.

To donate, please contact Annette Weekes, annette.weekes@pdsengineering.co.uk or click here, and to volunteer please contact Paul White, paul@livewelluk.com

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* 1. Name of Parent or Guardian

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* 2. School your child/children attends

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* 3. How many children in your household?

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* 4. How many lunches, per child, do you need for half term?

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* 5. Contact details for the meals to be delivered to on Monday

Name

Address

Address 2

City/Town

Postal Code

Email Address

Phone Number

Holiday Hunger Meal Booking Form

We're here to help you through October half term....

Question Title

* 1. Name of Parent or Guardian

Question Title

* 2. School your child/children attends

Question Title

* 3. How many children in your household?

Question Title

* 4. How many lunches, per child, do you need for half term?

Question Title

* 5. Contact details for the meals to be delivered to on Monday

Question Title

* 6. Any particular dietary requirements?