Student Grab-and-Go Meal Order Form
In order for us to prepare your student(s) Grab-and-Go meal order. Weekly and same-day orders are permitted. Same-day orders must be submitted before 9:00 am. Same-day orders submitted after 9:00 am will not be fulfilled. Only one form response required per household.

Grab-and-Go meals include a frozen breakfast and lunch. Only one Grab-and-Go meal per day per student.

Parent/Guardian can pick up the Grab-and-Go meal without students present. If you have any questions, please contact Michelle Vanhorn at mvanhorn@hbcsd.us.
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Email *
Date *
MM
/
DD
/
YYYY
Student(s) Full Name (if multiple students per house hold please separate names with comma) *
Monday | Total # of Grab-and-Go meals?
Tuesday | Total # of Grab-and-Go meals?
Wednesday | Total # of Grab-and-Go meals?
Thursday | Total # of Grab-and-Go meals?
Friday | Total # of Grab-and-Go meals?
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