Request edit access
WSD Virtual Learner's Meal Order
Meals will be available for pick up between the times of 10:45 - 11:25 AM at the High School. The meal pickup will be on the east side of the High School at the north door of the kitchen warehouse. A sign will be displayed next to the door indicating the pickup location.

One order form is required for each student.

This form is required a minimum of one day prior to meal participation and a new form is needed for each week.

Questions can be directed to the Director of Food Service, Lakeya Maddox at 605-882-6325.

Sign in to Google to save your progress. Learn more
Student First Name (Reminder - Complete an order for each student) *
Student Last Name *
Please check box if you have a dietary restriction
Grade
Name of individual picking up meal for student
Day requesting a meal for pick up
Day requesting a meal for pick up
Day requesting a meal for pick up
Day requesting a meal for pick up
Day requesting a meal for pick up
Day requesting a meal for pick up
Day requesting a meal for pick up
Day requesting a meal for pick up
Day requesting a meal for pick up
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of State of South Dakota K-12 Data Center.

Does this form look suspicious? Report