Grab and Go Meal Sign Up For Virtual Learners
🛑 This sign up is for the WEEK of April 19 (DUE BY SUNDAY April 18 @ 9PM).
REMINDER: If there is no school there is no meal distribution for that day. If there is a late start there is meal distribution as usual.
****
GENERAL INSTRUCTIONS:
Important Information: Grab and Go Meal Pick Up is on Tuesdays and Fridays and is for students who are in a virtual learning model or temporarily learning online due to illness, quarantine, etc.. Do not use this sign up if your student is attending school in the buildings or they will be charged at $3.85 for the lunch or $2.00 for the breakfast meal as they are not eligible for the free meal program currently in place.
Meal pick up at each building is from 8:00 - 8:15 AM on Tuesdays and Fridays. Arrive with your mask on and proceed to the pick-up line for the building you have chosen on the form.
â—‹ On Tuesday, pick up includes meals for Tuesday, Wednesday & Thursday.
â—‹ On Friday, pick up includes meals for Friday and Monday.
â—‹ Students/parents will pick up meals from THE PICKUP BUILDING THEY SELECT IN THE SURVEY.
â—‹ Menus are subject to change.
Amana Elementary - back kitchen door near the outdoor freezer
Oxford Elementary - front main school entrance
Tiffin Elementary - back kitchen door behind the building
Oak Hill Elementary - back kitchen door behind the building
North Bend Elementary - back kitchen door behind the building
Middle School - front main school entrance
High School - south door near the curve that goes around behind the school
If you need to cancel meals for the week or have questions, please contact the Nutrition Services Director Debbie Klein at
debbieklein@ccaschools.org
.
* Required
Email address
*
Your email
IMPORTANT: Wear a mask when picking up Meals
Student First Name - LIMIT 1 (Each student must be signed up individually)
*
Your answer
Student Last Name
*
Your answer
Parent/Guardian Name: One parent or pickup person (max 2 names please)
*
Your answer
Which building is your child registered with?
*
Amana Elementary
Clear Creek Elementary
Tiffin Elementary
North Bend Elementary
Oak Hill Elementary
Middle School
High School
Required
Which school building will you PICK UP meals? (All meals may be picked up from a single school. You MUST pick up from the location you sign up for)
*
Amana Elementary
Clear Creek Elementary
Tiffin Elementary
North Bend Elementary
Oak Hill Elementary
Middle School
High School
Required
Does your child have a Diet Modification Request Form on file with the school?
*
Yes
No
I am requesting meals for my child (named above).
*
Yes
No
Next
Never submit passwords through Google Forms.
This form was created inside of Clear Creek Amana CSD.
Report Abuse
Forms
