Classroom Nutrition Education Request
Nutrition Services at Loudoun County Public Schools is committed to serving unparalleled healthy, wholesome food coupled with nutrition education. We are offering teachers the opportunity to give their students an enriching nutrition-focused class. Classes are based on the availability of our nutrition education team members. Please send request at least 14 days before event.

Please note, at this time, our team is only able to come to those sites which are enrolled in the National School Lunch Program (NSLP) through LCPS School Nutrition Services.

If you do not receive a response to your request within 48 hours, please contact Stefanie Dove at 571.252.6502.
Email address *
Teacher Name (First and Last) *
Your answer
School *
Your answer
When would you like the class to take place? *
MM
/
DD
/
YYYY
Please provide an alternative date *
MM
/
DD
/
YYYY
Please provide the approximate time of day you would like this activity to occur (morning, afternoon, all day, etc.) *
Your answer
Where will the class take place? *
Your answer
What grade level is this education for? Check all that apply *
Required
How many students will be in attendance? *
Your answer
Will there be any adults in attendance? *
Your answer
Nutrition topic you would like to have covered (e.g. healthy breakfast, eat the rainbow, MyPlate, beverages, healthy snacks, kitchen tour, school garden harvest, smoothie bike demo, etc.) *
Your answer
Are there any known food allergies? If so, what? *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Loudoun County Public Schools. Report Abuse - Terms of Service