No a la carte Request Form

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No a la carte Request Form - 2025/2026

By completing this form, I am requesting my child(ren) not be allowed to charge second meal/entree or a la carte items. This form will need to be completed each school year.

*This request will be honored whenever possible but we cannot be accountable if there are computer problems, substitutes, etc. of which we have no control.

Please allow 3 school/business days for this request to become effective.

Please notify your child/ren of this restriction.

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent Email Address or Phone Number *

1. Student FIRST Name *

1. Student LAST Name *

1. School the Student Attends *

1. Grade *

1. Do you have another student to add? *

Yes

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