Roseville School Closure Food Order Request
By completing this form you give your consent to share your home address with the district in order to deliver the meals. We will make every effort to honor requests received. Someone must be present to receive the food. The first deliveries will begin on March 19. Meals and deliveries are at no cost for all children 18 and under.

Roseville Area Schools is an equal opportunity employer and provider.
Email address *
Please list any physician-documented special diets:
Your answer
Contact Information
Name *
Your answer
Telephone Number *
Your answer
Contact preference *
Address *
Your answer
Questions or comments:
Your answer
Never submit passwords through Google Forms.
This form was created inside of Roseville Area Schools. Report Abuse