2022-23 Donegal Power Pack Enrollment
All students participating in classes through the Donegal School District may enroll. Once the enrollment is received, The Emergency Food Assistance Program (TEFAP) "Self Declaration of Need" form will be sent to the family for completion.  This form must be completed and returned, with an original signature, to be enrolled in the project. Notification will be sent when all forms are reviewed and your student is approved to receive a weekly Power Pack.
  • Distribution of food packs will be every Thursday beginning October 6, 2022 through June 1, 2023. 
  • There is no cost to participating families. 
  • Supply the information requested below is you wish to participate.
  • Submit only one (1) time per family, listing all children in the household separately, indicate which student will transport the food pack, or if the family will pick up the food pack at our storage site.
  • Students may enroll at any time during the school year, but registration is required at the beginning of each school year.
This project is a community run, non-profit program that operates strictly by volunteers.  The project is hosted by The Donegal Foundation but is supported by local businesses, organizations and residents.  If you would like information on helping with this project, feel free to contact us by email or telephone.

Elayne Olson, Donegal Affiliate Coordinator
717-669-3897 (cell)
donegalpowerpacks@gmail.com

THE DONEGAL SCHOOL DISTRICT IS NOT SPONSORING, OFFERING OR ENDORSING THIS ACTIVITY.
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Email *
Head of Household Name *
Mailing Address *
Cell Number of Head of Household *
Will student carry home, or family pick up on Thursday? *
Name of student to carry Power Pack home from school. *
Grade of student carrying home pack *
Name of homeroom teacher for student carrying home pack
Mode of transportation for student carrying home pack *
Bus
Walker
Car Rider
AM Kindergarten Pick-Up
On Thursdays
Bus Number if Applicable
Child #1 (Last, First) Name *
Child #1 Date of Birth (DOB) *
MM
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DD
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YYYY
Child #1 Indicate School Attends *
Required
Child #2 (Last, First) Name (If applicable, otherwise scroll to list adults in household)
Child #2 Date of Birth (DOB)
MM
/
DD
/
YYYY
Child #2 Indicate School Attends
Child #3 (Last, First) Name (If applicable, otherwise scroll to list adults in household)
Child #3 Date of Birth (DOB)
MM
/
DD
/
YYYY
Child #3 Indicate School Attends
Child #4 (Last, First) Name (If applicable, otherwise scroll to list adults in household)
Child #4 Date of Birth (DOB)
MM
/
DD
/
YYYY
Child #4 Indicate School Attends
Child #5 (Last, First) Name (If applicable, otherwise scroll to list adults in household)
Child #5 Date of Birth (DOB)
MM
/
DD
/
YYYY
Child #5 Indicate School Attends
Full Name of ALL Adults in Household (18-59 yrs) *
Full Name of All Seniors in Household (60+ yrs)
Photo / Video Release *
Yes, I give permission
No, I do NOT give permission
Permission for photos/videos in which my child (or ward) or I appear as a participant in tis program to be used in brochures, videos and other promotional media by the Power Packs Project:
Name of Adult Authorizing Participation *
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