Lunch Request May 11 - May 15
Dear families - Newark Grade School will be offering free 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, May 11th.

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, May 11th? *
For Lunches on Monday, May 11th: *
How many lunches for Tuesday, May 12th? *
For Lunches on Tuesday, May 12th? *
How many lunches for Wednesday, May 13th? *
For Lunches on Wednesday, May 13th: *
How many lunches for Thursday, May 14th? *
For Lunches on Thursday, May 14th: *
How many lunches for Friday, May 15th? *
For Lunches on Friday, May 15th: *
Never submit passwords through Google Forms.
This form was created inside of Newark Community Consolidated School District 66.