Daily meal request form for October thru December
Fill out this form if you are picking up meals for your student who is enrolled in a Milton school and is learning virtually. (Or their siblings)
Pick up location will be the front parking lot of the High School. Pick up times are 11:00-12:00 daily when school is in session. A parent/guardian/relative or a sibling can pick up the meals. We are not currently able to deliver.
Every student that is enrolled in the district or is a sibling of a student that is enrolled will receive a free breakfast and lunch starting Thursday October 1st and running through December 22nd. The menu will follow what is listed on the districts website but is subject to change.
You will only need to fill this form out once as we will expect that you will be picking up daily.
All breakfast will contain 1% milk and lunch will contain chocolate milk.
If you require special accommodations please contact Mr. Gosdeck at
or one of the districts two social workers Verlene Orr at
or Sherry Rautenberg at
This institution is an equal opportunity provider.
Please list the name of your Student.
Please select the school they attend.
Please select your lunch choice.
Hot lunch (you will need to heat this at home)
Cold lunch (this will contain a cold sandwich)
If your student is in 4k-5th grade and you would like a milk for milk break please select your choice below and tell the sever your choice on pick up. Cost is $0.00 for free and reduced and $.40 for Paid students
1 % Milk
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This form was created inside of School District of Milton.