Cafeteria Account Balance Request (For Seniors And Withdrawing Students)
Use this survey to request a cafeteria account balance refund, or to transfer the remaining account balance to a sibling in the district (excludes students at Windsor Charter Academy). Please complete a separate survey for each student in the family. Thank you.
Student Last Name *
Student First Name *
Student ID Number (if known)
Parent/Guardian Last Name *
Parent/Guardian First Name *
Parent/Guardian Email Address *
Action requested for this student's cafeteria account balance: Mark only one oval. *
If requesting a refund, please provide your current mailing address (include city, state and zip code):
If requesting a balance transfer to a sibling or siblings within the district, please list the name(s) below:
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This form was created inside of Weld RE-4. Report Abuse