Weekend Blessings Form

Before submitting this form, please click on the TEFAP (income guidelines) and PROXY form links below, review each carefully, and provide your electronic signature at the end of this form.

TEFAP Form  


  • About Weekend Blessings

    Conestoga Valley Christian Community Services, (CVCCS) will be offering Weekend Blessings again this year, beginning September 16th. Weekend Blessings is a program designed to help meet the nutritional needs of the children in the Conestoga Valley School District. Each Friday children enrolled in the program will receive a pack filled with food for use on the weekends.
  • Your Privacy

    Your privacy is important to us. This information will only be available to the CVCCS Weekend Blessings Coordinator and your school social worker or counselor.
  • Safety

    Parents/Guardians are responsible to check Weekend Blessings packs each week to ensure that the foods are appropriate and safe for your child. *Foods may contain nuts, peanut butter, or other allergens.*
  • Other Helpful Services Available

    CVCCS also has a food bank and clothing bank that are available free of cost to those within a certain income range, if you would like more information on either of those services, please contact CVCCS at 717-208-3711.
  • List each student's FIRST & LAST name, DATE OF BIRTH, and SCHOOL.
  • This field is for validation purposes and should be left unchanged.