Lunch Request April 20 - 24
Dear families - Newark Grade School will be offering lunches for all students under the age of 18 for our district and Newark High School District.

Please fill out the form below of how many you will need for students and if you will be picking up or need the lunches delivered. This form is due by 8:30 am on Monday, April 20th.

Pick up times are 11:45 am - 12:30 pm at Newark Grade School. Questions?? Call 815.695.5143 or email or
Email *
Family/Student (s) Name: *
How many lunches for Monday, April 20th? *
For Lunches on Monday, April 20th: *
How many lunches for Tuesday, April 21st? *
For Lunches on Tuesday, April 21st? *
How many lunches for Wednesday, April 22nd? *
For Lunches on Wednesday, April 22nd: *
How many lunches for Thursday, April 23rd? *
For Lunches on Thursday, April 23rd: *
How many lunches for Friday, April 24th? *
For Lunches on Friday, April 24th: *
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This form was created inside of Newark Community Consolidated School District 66.