Bible Stories + Games + Crafts + Object Lesson + Snacks = FUN
PLEASE FILL OUT AND RETURN THE REGISTRATION FORM
Keokuk Community School District is participating in the Summer Food Service Program. Meals will be provided to all children without charge and are the same for all children regardless of race, color, national origin, sex, age or disability, and there will be no discrimination in the course of the meal service. Meals will be provided, at a first come, first serve basis, at the sites and times as follows:
Keokuk Middle School MWF 10:30-11:00am, Jun 2nd-Aug 6th
Hawthorne Elementary MWF 10:30-11:00am, Jun 2nd-Aug 13th
George Washington Elementary School MWF 10:30-11:00am, Jun 2nd-Aug 13th
The Crossing 610 Timea St. MWF 11:10-11:35am June 2nd-Aug 6th
Kilbourne Park 20th & Bank St. MWF 11:50-12:10pm Jun 2nd-Aug 6th
Keokuk Park Apartments Johnson Street Rd MWF 12:30-12:50pm, Jun 2nd-Aug 6th
Hawkeye Village Johnson Street Rd MWF 12:55-1:15pm, Jun 2nd-Aug 6th
Meal service is Mondays, Wednesdays and Fridays. Breakfast and Lunch for Mon-Tues will be provided on Mondays. Breakfast and Lunch for Wed-Thurs will be provided on Wednesdays. Breakfast, lunch and weekend bags will be provided on Fridays.
To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:
(1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence, Avenue, SW, Washington, D.C. 20250-9410;
(2) fax: (202) 690-7442; or
(3) email: email@example.com.
This institution is an equal opportunity provider.
Iowa Non-Discrimination Statement:
“It is the policy of this CNP provider not to discriminate on the basis of race, creed, color, sex, sexual orientation, gender identity, national origin, disability, age, or religion in its programs, activities, or employment practices as required by the Iowa Code section 216.6, 216.7, and 216.9. If you have questions or grievances related to compliance with this policy by this CNP Provider, please contact the Iowa Civil Rights Commission, Grimes State Office building, 400 E. 14th St. Des Moines, IA 50319-1004; phone number 515-281-4121, 800-457-4416; website: https://icrc.iowa.gov/.”