Meal Order Form

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Meal Order Form

Please complete this form for students (18 years and younger) who would like meals (breakfast and lunch) during remote learning and/or virtual learning days. If you have more than three (3) children in your household, please complete this form again for remaining children in the household.

Meals will be delivered to the home on Mondays OR must be picked up on Mondays between 9:30-10:00 AM or 1:00-1:30 PM in the elementary cafeteria. Meals delivered to the home will be picked up at the bus stop between the hours of 10:00 AM - 12:00 PM.

Parent Name (First and Last) *

Home Address for Delivery:

Home Phone Number for Delivery:

#1 Student Name (First and Last)

#1 Student Grade

#2 Student Name (First and Last)

#2 Student Grade

#3 Student Name (First and Last)

#3 Student Grade

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