PACE Academy - School Meal Order Form
P.A.C.E. Academy will provide a Free Breakfast and Lunch to all students enrolled in our virtual learning program. Each week, each PACE student will be provided 5 days of Breakfast and 5 days of Lunch. Meals will be provided based on the school learning calendar. Menus are subject to change and no substitutions or deletion of meals are allowed. By completing this form you are giving consent for your child to receive meals at no charge. Please complete and submit this form no later than Tuesday, September 1st, your prompt response will help the food service team prepare for food service pick-up to begin the week of Sept. 8th.
Thank you, the food service team.
• Meals will be picked up once each week
• One week's worth of meals (breakfast & lunch) will be provided for each PACE student
• Quantities may vary based on the school calendar
• Food allergies MUST be accompanied by a doctor's order
• You MUST complete a separate form for each of your enrolled children
• The School Meal Order Form deadline is Tuesday, September 1st
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Name of person completing this form.
Relationship to child.
Phone Number with area code.
Name of the child receiving the meals. (MUST be a PACE student)
My child has food allergies.
List food allergy below. NOTE: All food allergies must be accompanied by a doctor's note. Submit documentation to Mrs. Lawrence at
, or fax to 248-569-1403.
I am available to pick up meals at P.A.C.E. Academy on...(choose one option)
Tuesdays between 2-5 pm
Wednesdays between 3-6
Thursdays between 2-5 pm
None of the above. If the options listed above do not work for your schedule, please contact Mrs. Lawrence at
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Pollack Academic Center of Excellence.