Gloucester City ECC & CSS Meal Request Form
As school is reopening on a modified schedule due to COVID-19, we will be offering breakfast and lunch for PRE-ORDER for those students attending Early Childhood Center and Cold Springs School ONLY.

Meals are available to ALL STUDENTS @ NO CHARGE through June 30, 2021.


Breakfast will be delivered to your child to be eaten in the classroom and lunch will be sent home with your child each day that you order.


We are asking that you fill out this form THE WEDNESDAY PRIOR TO THE START OF EACH WEEK!!!
Please get your order placed by 12 PM.

We appreciate you filling out your contact information for each order so we can easily contact you with any issues. It should auto-populate after you fill out this form for the first time!

Please fill out a separate form for EACH of your children who attend ECC or CSS EACH week.

*IF YOUR CHILD IS REMOTE ONLY, PLEASE SEE THE "REMOTE LEARNING MEAL REQUEST FORM"

Thank you for working with us as we are striving for the best approach to keep your students fed and healthy during this time!

*MENU IS SUBJECT TO CHANGE. During this time of COVID, there are may be manufacturer shortages which require us to make a substitution. If a substitution needs to be made, we will do our best to choose the most nutritionally similar item.

Any Questions?
Marlene Monroe
Gloucester City School District
Nutri-Serve Food Management Inc.
Food Service Director
856-456-7000 ext 1526
mmonroe@gcsd.k12.nj.us
Email address *
I am ordering Breakfast & Lunch for the week of... *
REMEMBER this order needs to be in by 12pm the WEDNESDAY prior to the start of the week
Parent/Guardian FULL Name: *
EXAMPLE: Jane Smith
Parent/Guardian Phone Number: *
EXAMPLE: 555-555-5555
Student FULL Name: *
EXAMPLE: James Smith
Student Home Room Teacher Name
Which grade is your child in? *
Please check one or both boxes where applicable
Select what your child would like for LUNCH:
Chicken Patty on a Bun
PB & J Uncrustable (NON Dairy/Vegan)
Cereal Lunch Meal (GF)
Italian Hoagie
MONDAY
Clear selection
Select what your child would like for LUNCH:
Chicken Taco
PB & J Uncrustable (Non Dairy/Vegan)
Cereal Lunch Meal (GF)
Ham & Cheese on a Kaiser
TUESDAY
Clear selection
Select what your child would like for LUNCH:
Cheese Steak
PB & J Uncrustable (Non Dairy/Vegan)
Cereal Lunch Meal (GF)
Turkey & Cheese Wrap
WEDNESDAY
Clear selection
Select what your child would like for LUNCH:
Chicken Nuggets
PB & J Uncrustable (Non dairy/Vegan)
Cereal Lunch Meal (GF)
American Hoagie
THURSDAY
Clear selection
Select what your child would like for LUNCH:
Pizza
PB & J Uncrustable (non dairy/vegan)
Cereal Lunch Meal (GF)
BBQ Chicken on a Kaiser
FRIDAY
Clear selection
Select what your child would like for BREAKFAST:
Assorted Cereal
Cocoa Puff Cereal Bar
MONDAY
Clear selection
Select what your child would like for BREAKFAST:
Assorted Cereal
Fruity Cheerios Cereal Bar
TUESDAY
Clear selection
Select what your child would like for BREAKFAST:
Assorted Cereal
Mini Bagel w/ Strawberry Cream Cheese
WEDNESDAY
Clear selection
Select what your child would like for BREAKFAST:
Assorted Cereal
WG Chocolate Chip Muffin
THURSDAY
Clear selection
Select what your child would like for BREAKFAST:
Assorted Cereal
Apple Bites
FRIDAY
Clear selection
Does your child have any food allergies? Please explain.
EXAMPLE: Mike (Peanuts)
Any other comments?
Some of these items require cooking or assembly! Check out our HEAT @ HOME instructions on how to prepare these items (available in English & Spanish) . This also includes storage instructions and portions. Click on this link: https://drive.google.com/file/d/1zP4zCFPnhaaS8b7aiWRxItZ96jf54sx5/view?usp=sharing
A copy of your responses will be emailed to the address you provided.
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