Referral Form

For Faculty/ Staff use only.

Action Packs are available to all students in grades PK-12. Action Packs are nutritious, kid-friendly meals assembled and sent home with your child(ren) each Friday. The goal of the Action Pack program is to ensure all our students have access to the food necessary to return to school on Monday energized and focused! 

Forms

A signed informed consent is required for students who wish to be seen on an ongoing basis. A student may be seen up to 3 times before an informed consent is required. 

Informed Consent

Action Pack Program Referral Form

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Odin Public Schools #722

618-775-8266

Find us: 

102 S. Merritt Street Odin, IL 62870

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