Children 18 & under not at school in person: Pick-Up 11/16 and 11/18 only. Please note time change to 11 am - 12:30 pm
YOU MUST FILL OUT ONE FORM FOR EACH STUDENT.
This week the meal distribution will be for children 18 and under NOT ATTENDING SCHOOL IN PERSON. Distribution days will be on Monday, 11/16 and Wednesday, 11/18.
Please sign-up by Friday, 11/13 at noon.
**We are requesting email addresses to enable us to send email reminders. If you don't have an email, please enter
. Thank you! **
Meal Pickup will take place:
Monday from 11 am - 12:30 pm (2 breakfast/2 lunch) and Wednesday from 11am - 12:30 pm (3 breakfast / 3 lunch)
All pickup will be at the BSE Gym Doors in a drive-thru style. Please stay in your vehicle. Children do not need to be present. Children are not required to be present, and another person may be designated to pick up meals.
This institution is an equal opportunity provider.
What grade is your student in?
18 and under/not yet in school
Student's First Name
Student's Last Name
Contact Phone Number
Pick-Up Days Requested (please choose all that apply)
Does your child have a peanut allergy?
Some food may need to be warmed up at home. Do you have access to a microwave or stove/oven?
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Salem Community Schools.