Summer 2021 Meal Order Form
YOU ONLY HAVE TO FILL OUT ONE FORM PER FAMILY. IN THE STUDENT NAME FIELD, PLEASE LIST ONLY ONE CHILD PER HOUSEHOLD.

REMEMBER: YOU MUST ENROLL EACH WEEK BY WEDNESDAY AT MIDNIGHT IN ORDER TO RECEIVE YOUR STUDENTS MEALS. MEALS WILL BE PICKED UP ON MONDAYS BETWEEN 10am and 12pm.
Email *
Student First Name: YOU ONLY HAVE TO FILL OUT ONE FORM PER FAMILY. IN THE STUDENT NAME FIELD, PLEASE LIST ONLY ONE CHILD PER HOUSEHOLD. *
Student Last Name *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Number of children under the age of 18 that live in the home. YOU ONLY HAVE TO FILL OUT ONE FORM PER FAMILY. EVEN THOUGH YOU LISTED ONE STUDENT ABOVE MARK HOW MANY CHILDREN ARE IN YOUR HOUSEHOLD. *
Please provide your preferred phone number, in case we have questions. *
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