School Meal Form UCHS/ALC
If you have NOT filled this out online, please have your student return this form to the cafeteria manager AT THE SCHOOL YOU WISH TO PICK UP AT. This first week will be gathering information to know how many meals to prepare for each group and verifying enrollment. The goal is for a group to pick up meals the day after they attend during the first week. Below is a pick up schedule. Please fill out only ONE application per family.
* Required
Name
*
Your answer
School
*
UCHS
ALC
Staggered Group for attending school
*
A
B
C
D
E
Meals will be offered to students the days they attend school. Students are also eligible to receive an additional 4 breakfasts and 4 lunches for the days the student is not at school due to the staggered rotation. These meals are what would be available to students during a typical school year. Professional development and in-serivce days students will not be served.
Does the student plan on picking up meals for the days they are not in school?
*
Yes
No
Are the siblings that are enrolled in UCPS that you would like to pick up at the same location?
*
Your answer
If so, which school would you like to pick up the meals?
Your answer
Write the names of the siblings needing meals? What school did they attend and grade?
Name
Your answer
School
Your answer
Grade
*
Freshman
Sophomore
Junior
Senior
Name
Your answer
School
Your answer
Grade
Freshman
Sophomore
Junior
Senior
Clear selection
Name
Your answer
School
Your answer
Grade
Freshman
Sophomore
Junior
Senior
Clear selection
Name
Your answer
School
Your answer
Grade
Freshman
Sophomore
Junior
Senior
Clear selection
Name
Your answer
School
Your answer
Grade
Freshman
Sophomore
Junior
Senior
Clear selection
Name
Your answer
School
Your answer
Name
Your answer
School
Your answer
Grade
Freshman
Sophomore
Junior
Senior
Clear selection
Submit
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