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Kankakee Valley School Corp. Meal Order Form
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* Indicates required question
Contact Email Address
*
Your answer
Contact Phone Number
*
Your answer
Student Last Name
*
Your answer
Student First Name
*
Your answer
Select Grade Level
*
Choose
1
2
3
4
5
6
7
8
9
10
11
12
KG
Date for meal pick-up
*
MM
/
DD
/
YYYY
Meals for date (Select at least one)
*
Breakfast
Lunch
Required
School for Pick up: (Pick One)
*
Choose
DES Door 10 - 10:30 to 10:45
WES Door 6 - 10:30 to 10:45
Submit
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