IN PALM BEACH CCUNTY: (38) DATE ATTENDED: FREE OR REDUCED PRICE LUNCH: (39) Hale you filled oLt an app):cahoh fcr a Free o" Reduced Price Lunch? (ApplicatOn a provided wdtn this Pegistrarion Form) 0 YES SCREENING AND AND ASSESSMENT: SODIUM FLUORIDE PROGRAM: (4O) I gme Permisson for rn) child to give