Meal Take Home/Delivery Request
Please use one form per student to request take-home or meal delivery for the 2020-21 school year. Please note: Meal delivery is only available to in-district students. Tuition-paying students should contact their district of residence.
* Required
Name of Student
*
Your answer
Home Address
*
Your answer
Contact Number
*
Your answer
Grade Level
*
Choose
K
1
2
3
4
5
6
7
8
9
10
11
12
Is the student physically attending school on some days as part of a cohort?
*
Yes
No
For K-5 students attending in-person, who is the student's classroom teacher?
Your answer
Submit
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