Remote Meal Request Form - High School Orange Status Level
We know a remote learning environment may cause many hardships on our students and families. School meals can provide needed nutrition for students. The USDA has extended a waiver for the duration of the 20-21 school year to provide meals at no costs to all students. Students do NOT need to qualify for free/reduced lunch for this service.
THIS FORM SHOULD ONLY BE COMPLETED IF YOU ARE REQUESTING A MEAL DURING A SCHOOL CLOSURE (ORANGE LEVEL). PARENTS OR STUDENTS MAY PICK UP MEALS ON MONDAYS BETWEEN 10:00 A.M. AND 12:00 P.M.
Please contact Food Service Supervisor, Marilyn Enyart (
or 614-834-6751) with questions or assistance.
(For those with multiple children, please complete the survey for each child in your household separately. THOSE WHO HAVE PREVIOULSY SIGNED UP IN DECEMBER DO NOT NEED TO SIGN UP AGAIN.)
Parent First Name
Parent Last Name
Parent Email Address
Parent Phone Number
Your Child's First Name
Your Child's Last Name
Grade Level (2020-2021)
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This form was created inside of Bloom-Carroll Local School District.