Remote Meal Ordering Form
SEBRSD will be providing FREE Breakfasts and Lunches to all students!
Meals will be provided in the classrooms and for pickup at Knox Trial Middle School from 9am-1pm
on Mondays and Wednesdays.
Remote meals will be picked up in bulk and ordered on a Google Form Link
Monday for Monday- Wednesday
Wednesday Thursday and Friday
* Required
Family name for pick-up
*
Your answer
Days of the week ordering for
*
Monday
Tuesday
Wednesday
Thursday
Friday
Required
Number of students receiving meals each day (number of students in household)
*
Child
1
2
3
4
5
6
7
8
9
10
Childern
REMOTE Pick-up location
*
ONLY--Knox Trail Middle School (9am-1pm) MONDAY (Meals for M-W)
ONLY--Knox Trail Middle School (9am-1pm) WEDNESDAY (Meals for T-F)
BOTH Knox Trail Middle School (9am-1pm) MONDAY & WEDNESDAY (Meals for M-F)
HYBRID- Meals brought home on Thursday for Friday
*
YES- Wire Village
YES- East Brookfield Elementary
Not needed
Dietary restrictions with doctors note provided to nurse
Your answer
Vegetarian meal required?
Yes
No
Clear selection
Comments
Your answer
Submit
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