Distance Learning Weekly Meal Kit Order Form (5 Meals a Week)
Please complete this one-time order form to receive weekly meal kits for your child in the full-time Distance Learning option or pre-kindergarten child. This will be a standing order as long as you regularly pick up meals on regular Wednesday pick up dates.

Each meal kit will include 5 breakfasts and 5 lunches for each day of the week
(less meals will be included for shorter school weeks)
* Breakfast - cold continental breakfast items
* Lunch - entree, vegetables, fruit and milk

Price: FREE
All Lakeville Area Schools children through age 18 are eligible to receive free breakfast and lunch.

WEDNESDAY PICK UP OPTIONS:
K-12 Students:
Lakeville North High School: 11:30 a.m. - 1:00 p.m.
Lakeville South High School: 11:30 a.m. - 1:00 p.m.
4:00 p.m. - 6:00 p.m.
Pre-K and CLEC Students:
Lakeville South High School: 11:30 a.m. - 1:00 p.m.
4:00 p.m. - 6:00 p.m.

We will accommodate special diets for which we have medical documentation on file for a child.
For further information on special diets, please contact Kristen Rezac at reza2803@isd194.org

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If you would like to talk about this document with someone who speaks Spanish or Somali, please call our Student Support Liaisons: http://bit.ly/194EquityTeam

Si desea hablar sobre este documento con alguien que hable español o somalí, llame a nuestros Student Support Liaisons: http://bit.ly/194EquityTeam

Hadaad jeceshahay inaad dukumentigan kala hadashid qof ku hadla Isbaanish ama Soomaali, fadlan wac Student Support Liaisons: http://bit.ly/194EquityTeam
Email address *
First name of parent or guardian ordering meals: *
Last name of parent or guardian ordering meals: *
Daytime phone number, (###) ###-#### *
Which school group(s) would your child/children have been enrolled in? *
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