Northern Burlington School District COVID-19 School Closure Meal Request Form
Due to the school closure, lunch will be available for current Northern Burlington School District students.

Please come to the cafeteria at the Middle School to pick up your meal. Come through the North Island Road entrance and come to the side entrance of the cafeteria by the dumpsters (C-3 Door).

ATTENTION: MEALS WILL NOW BE PICKED UP ON MONDAY FOR THE ENTIRE WEEK.*

Meal pick up is between 10:30 am - 11:30 am on MONDAY ONLY

*NO LUNCHES WILL BE OFFERED DURING SPRING RECESS : APRIL 10TH thru APRIL 17TH.

We are asking that you fill out this form PRIOR TO PICKING UP MEALS!!!
Please get your order placed by 8 AM THE DAY OF PICK UP!
We are asking for you to request meals for accurate counts to reduce food waste!

We appreciate you filling out your contact information for each order so we can easily contact you with any changes in this matter.

We are striving for the best approach to keep your students fed and healthy during this time!

Any Questions:
Maria Baran
Food Service Director
Nutri-Serve Food Management
NBC@nsfm.com
Parent/Guardian FULL Name: *
EXAMPLE: Jane Smith
Your answer
Parent/Guardian Email: *
Your answer
Parent/Guardian Phone Number: *
EXAMPLE: 555-555-5555
Your answer
Which school(s) does your child(ren) attend? *
Please check one or both boxes where applicable
Required
What day will you be picking up the meal? *
Please select the pick-up day! You may order ahead for upcoming weeks. You can do this by clicking the link to submit another response AFTER you submit this meal request. So, you need to fill out the form for each day you plan to pick up meals.
I agree that orders placed for MONDAY must be placed by 8 am Monday. *
Please type your students' name, grade and ID number. For multiple students please hit enter after each student's entry. *
EXAMPLE: Mike Smith- 7th- 12345, Megan Smith- 9th- 67891, Brian Smith- 12th- 34567
Your answer
Any other comments:
Your answer
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