Newly Remote Learner Meal Order Form 12/15-12/18
All breakfast includes cereal or bagel, white milk and fruit/juice. All lunch includes fruit, vegetables and choice of milk.
Email address *
Pick-up time *
Student First Name *
Student Last Name *
Student Grade *
Tuesday Breakfast *
Wednesday Breakfast *
Thursday Breakfast *
Friday Breakfast *
Tuesday Lunch *
Wednesday Lunch *
Thursday Lunch Choice *
Friday Lunch
Clear selection
Milk Choice *
None
White
Chocolate
Tuesday
Wednesday
Thursday
Friday
Student food allergies
Guardian Name (First and Last) *
Phone Number *
A copy of your responses will be emailed to the address you provided.
Submit
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