GJT LUNCH NEWINGTON
GJT
LUNCH NEWINGTON is a collaboration of community partners coming together to
provide healthy food to the children of Newington during the summer
months. The United Church of Christ
Congregational in Newington has agreed to be the staging area for the program. A week’s worth of healthy lunch groceries will
be packed and delivered to your home each Sunday in the early afternoon.
This program is sponsored by Newington’s Department of Human
Services and the United Church of Christ Congregational in Newington. Working together to support this beneficial
program are various religious institutions, local businesses and non-profit
organizations, and individuals throughout Newington and surrounding communities.
This year the program will run from June 18 until August 20.
REGISTER online at gotlunch.org or mail this
completed form to:
Church of Christ Congregational, 1075
Main Street, Newington, CT 06111
PLEASE PRINT ALL
INFORMATION:
Parent /
Guardian: __________________________________________________________________________
Address: __________________________________________________________________________________
Email: _________________________________________
Best contact number: ( _____ ) _________________
**If you do not wish to have your
household contact information shared with Newington’s Department of Human
Services, please check this box:¨
Number of
children living in the household that attend a Newington Public School? ______________________
Do any of the children have food
allergies? *Yes ¨ No ¨ *If YES,
please explain further: ____________
__________________________________________________________________________________________
If there are any Sunday(s) that we
should NOT deliver due to vacation
plans, etc., please list them here:
__________________________________________________________________________________________
If you have any pets, please explain where
they will be during delivery: ________________________________
__________________________________________________________________________________________
PLEASE NOTE:
Your signature below waives all liability from your family’s participation in
this program and all the program’s sponsoring and collaborating partners.
Signature: _____________________________________________
Date: ____________________________
~ For
planning purposes, please submit applications by June 10, 2023 ~