SMCSC Nutrition Services OPT- IN: HYBRID Student Meal Program - PHMS and PHHS students ONLY
Please complete the below form and list each student in your family that you would like to participate in the meal program. If you choose to no longer participate at any time, please select the "Opt-Out" opton from our website.
Parent/Guardian (First Name / Last Name)
Parent/Guardian Phone #
# of students in family to OPT-IN to meal service
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This form was created inside of South Madison Community School Corporation.