ISD 162 Meal Request Form
If your child/children attend Bagley Elementary or Bagley High School they are eligible to receive breakfast and lunch. Meals can be picked up at the Elementary School or delivered if transportation is an issue.
By completing this form you consent to share confidential information such as home address and meal eligibility status prior to using a third party home meal delivery service/vendor (if applicable).
Your Name:
Your answer
Phone Number:
Your answer
Address:
Your answer
Please indicate delivery method.
Name of Student #1 :
Your answer
List any known food allergies for student #1:
Your answer
Name of Student #2:
Your answer
List any known food allergies for student #2:
Your answer
Name of Student #3:
Your answer
List any known food allergies for student #3:
Your answer
Name of Student #4:
Your answer
List any known food allergies for student #4:
Your answer
Name of Student #5:
Your answer
List any known food allergies for student #5:
Your answer
Name of Student #6:
Your answer
List any known food allergies for student #6:
Your answer
Name of Student #7:
Your answer
List any known food allergies for student #7:
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Bagley Public Schools. Report Abuse