2023 Summer Enrollment                                         for Donegal Power Packs
All children & youth who will be enrolled at Donegal School District in Fall 2023 are welcome to participate in our Summer Project.  Read the requirements below before completing registration:
  • Distribution of food packs will be every Thursday, 3:00 - 5:00 PM,                                                            beginning June 15th and run through August 10th.
  • There is no cost to participating families. 
  • Choose to pick-up a Power Pack at one of the three distribution sites listed below.
  • Supply the information requested below if you wish to participate.
  • Failure to pick-up 3 consecutive times will result in dismissal from the project.
  • Submit only one (1) entry form per family, listing all children in the household separately.
  • The Emergency Food Assistance Program (TEFAP) "Self Declaration of Need" form will need to be signed at the first distribution.
This project is a community run, non-profit program that operates strictly by volunteers.  The project is led by The Friends of Donegal, and supported by The Donegal Foundation, local businesses, organizations and residents.  If you would like information on helping with this project, feel free to contact us by email.

Jessica Tyson, Donegal Affiliate Coordinator
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 *
Choose which site for pick-up of Power Pack on Thursdays: *
Choose a time slot for pick-up at your chosen site: *
Name of Person Picking Up Power Pack on Thursdays: *
Child #1 (Last, First) Name *
Child #1 Date of Birth (DOB) *
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Child #1 Indicate School Attending in Fall *
Required
Child #2 (Last, First) Name (If applicable, otherwise scroll to list adults in household)
Child #2 Date of Birth (DOB)
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Child #2 Indicate School Attending in Fall
Child #3 (Last, First) Name (If applicable, otherwise scroll to list adults in household)
Child #3 Date of Birth (DOB)
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Child #3 Indicate School Attending in Fall
Child #4 (Last, First) Name (If applicable, otherwise scroll to list adults in household)
Child #4 Date of Birth (DOB)
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DD
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YYYY
Child #4 Indicate School Attending in Fall
Child #5 (Last, First) Name (If applicable, otherwise scroll to list adults in household)
Child #5 Date of Birth (DOB)
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DD
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Child #5 Indicate School Attending in Fall
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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