Sign Up


Click to Download Form.

How to Sign Up



Click on the PDF Document icon above and print out the form.  Please fill in all the requested information and sign the form.  We cannot start distributing bags if there is no parent/guardian signature.  Return the completed form to the school office or the PO Box address listed below.  If you no longer desire to receive food bags, please contact us by email or by mail at the PO Box address listed below.


Donations may be sent to:

Ron Haines COB

C/O  MidWestOne Bank

58 East Burlington Avenue

Fairfield, Iowa  52556


Write Us:


Carry On Bags

PO Box 1041

Fairfield, Iowa  52556


 Proudly created with

This site was designed with the
website builder. Create your website today.
Start Now