Free Lunch Order Form
The free lunch program offered through the USDA will continue until further notice.
All students previously signed up WILL CONTINUE to receive free lunches for the duration of the program.
THIS FORM IS ONLY FOR STUDENTS NOT CURRENTLY SIGNED UP FOR FREE LUNCH THAT WOULD LIKE TO BE ADDED FOR TO THE LIST. Forms are due by Wednesday of each week, with free lunches beginning on the following Monday.
* Required
Today's Date
*
MM
/
DD
/
YYYY
Child's Name (1 per form)
*
Your answer
Homeroom Teacher
*
Your answer
Grade
*
K
1
2
3
4
5
6
Choose One
*
Virtual Only Student: Pick Up Weekly Lunches on specified dates between 1:00 and 2:00.
Blue Cohort Student: Lunches Delivered at Dismissal on Monday and Tuesday (take home 3 extra on Tuesday)
Green Cohort Student: Lunches Delivered at Dismissal on Thursday and Friday (take home 3 extra on Friday)
4 day a week Student: Lunches delivered Daily at Dismissal (Tuesdays=2 lunches)
Milk Choice
*
Chocolate
White
Submit
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