School Name

Full School Address

School Board

Contact Name

Phone Number with Area Code

Email Address

Type of School

When would you like to start Bread Garden KidsEat!™ in your school?
 Fall (September - December)  Winter ( January - March)  Spring (April - June)  As Soon As Possible

How often would you like to hold Bread Garden KidsEat!™ lunches?
# Per week?

# Per month?

Other

How did you hear about the Bread Garden KidsEat!™ program?
 Another School  School Board PAC or Home and School Group  Parent  News Kidproof Canada® Internet  Other

Do you have any questions or comments

Thank you for submitting your request to start Bread Garden KidsEat!™ at your school. We will be in touch shortly to confirm the details and get your school set up.

If you would like to chat with us prior to ordering, please feel free to call us at 604-833-7917 Monday to Friday 9 am - 5 pm PST.