Meal Pick Up Form

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Meal Pick Up Form

You will receive 5 breakfasts and 5 lunches per package per child. Free to all children 18 years old or younger.

Pick up will be available at Mississinewa High School Door 9 OR Westview Elementary School Door 7 from 10:00AM - Noon OR 4:00 - 6:00PM on MONDAY , MARCH 23, 2020

If assistance or other times are needed, please call the administration office at 765-674-8528.

Name of person requesting:

Meal Requests for the week of March 16th is now closed...Continue to make requests for future weeks.

Meal Requests for the week of March 23rd is now closed...Continue to make requests for future weeks.

Meal Requests for the week of March 30th is now closed...Continue to make requests for future weeks.

I would like to pick up meals for the week of April 6th for my children. Please enter the number of children to feed:

1 Child

2 Children

3 Children

4 Children

5 Children

6 Children

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I would like to pick up meals for the week of April 13th for my children. Please enter the number of children to feed:

1 Child

2 Children

3 Children

4 Children

5 Children

6 Children

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I would like to pick up meals for the week of April 20th for my children. Please enter the number of children to feed:

1 Child

2 Children

3 Children

4 Children

5 Children

6 Children

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I would like to pick up meals for the week of April 27th for my children. Please enter the number of children to feed:

1 Child

2 Children

3 Children

4 Children

5 Children

6 Children

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I would like to pick up meals for the week of May 4th for my children. Please enter the number of children to feed:

1 Child

2 Children

3 Children

4 Children

5 Children

6 Children

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I would like to pick up meals for the week of May 11th for my children. Please enter the number of children to feed:

1 Child

2 Children

3 Children

4 Children

5 Children

6 Children

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I would like to pick up meals for the week of May 18th for my children. Please enter the number of children to feed:

1 Child

2 Children

3 Children

4 Children

5 Children

6 Children

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I plan to pick up the meal packages at

Mississinewa High School

Westview Elementary School

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