2017 Stuff the Bus Request for Supplies
Please fill out the following information for each child and return to the Vernon County Health Department no later than August 10, 2017:
E-mail: [email protected]
or [email protected]
Mail or drop off at 318 Fairlane Drive, PO BOX 209, Viroqua, WI 54665 Call requests in at 608-637-5260 Parent’s Name: _______________________________________________ Phone Number: ______________________________________________ Child’s Name: ________________________________________________ School: _____________________________________________________ Grade: _____________________________________________________ Gender: ____________________________________________________ Child’s Likes/Dislikes: _____________________________________________ Pick up Location: Viroqua Ontario Hillsboro La Farge Genoa
Supplies will be provided to families that meet the income guidelines for the Wisconsin Women’s Infant’s and Children’s Program, on a first come first serve basis. We will do our best to provide as many supplies from your child’s list, but you will have a few days before school starts if any supplies will need to be purchased on your own.
You must specify your pick up location at time of enrollment 1. 2. 3. 4. 5.
August 14-15 – Viroqua (Good Shepherd Lutheran Church) August 15 – Ontario (Town Hall/Fire Station) August 16 – Hillsboro (Wesleyan Church on High Avenue) August 18 – La Farge (La Farge Fire Department) August 17 – Genoa (Location depending on number of student in area)
Parents may have to purchase some things from their child’s list.