No "A la Carte" Request Form - 2020/2021
By completing this form, I am allowing my child/ren to charge ONLY a regular hot lunch to the family account. All other items such as a second meal/entree or "a la carte" will not be allowed. These items can be purchased with cash.
*This request will be honored whenever possible but we cannot be accountable if there are computer problems, substitutes, etc. of which we have no control.
This notice will be effective from the date it is received in the main Food Service Office for the school year 2020-2021.
Please notify your child/ren of this restriction.
Parent/Guardian First Name
Parent/Guardian Last Name
Parent Email Address or Phone Number
1. Student FIRST Name
1. Student LAST Name
1. School the Student Attends
Prairie View Elementary
Twin Lakes Elementary
Prairie View Middle School
Rogers Middle School
Salk Middle School
VandenBerge Middle School
Zimmerman Middle School
Elk River High School
Ivan Sand Community High School
Rogers High School
Zimmerman High School
1. Do you have another student to add?
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This form was created inside of Independent School District 728.