Emergency Meals-to-go
This is a collaborative effort between Baylor University and the United States Department of Agriculture. By submitting this form, you are sharing this information with Baylor University. They in turn, will provide shipping information with your name, address and number of boxes to be sent. At  no time will personally identifiable information of any minor submitted here be shared with anyone outside of the Baylor: Meals-to-go team.
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Email *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Email
Phone including AREA CODE *
Physical Address Street number and name *
Apartment number
Physical Address City *
Physical Address State *
Physical Address Zip Code *
Please add all children in the house under the age of 18 which are eligible to receive a meal. The number of child in the household will determine the number of meals.
Eligible Child's First Name *
Eligible Child's Last Name *
Eligible Child's Date of Birth *
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Eligible Child's First Name
Eligible Child's Last Name
Eligible Child's Date of Birth
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Eligible Child's First Name
Eligible Child's Last Name
Eligible Child's Date of Birth
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Eligible Child's First Name
Eligible Child's Last Name
Eligible Child's Date of Birth
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Eligible Child's First Name
Eligible Child's Last Name
Eligible Child's Date of Birth
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Eligible Child's First Name
Eligible Child's Last Name
Eligible Child's Date of Birth
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Survey Contact Consent - You must choose "yes" to consent in order to receive meals. *
Consent to Contact Regarding Food Assistance
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