CSD Meals Vegetarian & Special Diet Form
Please fill out this form to secure your child's vegetarian meals 𝗢𝗥 special diet meals. Parents requesting for special diets are required to have email communication with our Nutrition Supervisor Sarah Catherine Black (
) after filling out this form.
Please complete a separate form for each child.
𝗪𝗵𝘆 𝗮𝗿𝗲 𝘄𝗲 𝗮𝘀𝗸𝗶𝗻𝗴 𝘃𝗲𝗴𝗲𝘁𝗮𝗿𝗶𝗮𝗻 𝗮𝗻𝗱 𝘀𝗽𝗲𝗰𝗶𝗮𝗹 𝗱𝗶𝗲𝘁𝘀 𝘁𝗼 𝗳𝗶𝗹𝗹 𝗼𝘂𝘁 𝗮 𝗴𝗼𝗼𝗴𝗹𝗲 𝗳𝗼𝗿𝗺? We are preparing to-go meals for ALL our students who are learning in-person in our CSD buildings or even learning virtually at home. Our department has been provided with the total number of students at each school site. However not all of these students will want vegetarian meals or they won't have a special dietary need. The purpose of this form is to help us predict the demand for vegetarian and/or special diet meals at all our school sites and to know where to send meals for our virtual students.
𝗪𝗵𝗮𝘁 𝗶𝗳 𝗺𝘆 𝘀𝘁𝘂𝗱𝗲𝗻𝘁 𝗶𝘀 𝘀𝘁𝗶𝗹𝗹 𝗹𝗲𝗮𝗿𝗻𝗶𝗻𝗴 𝘃𝗶𝗿𝘁𝘂𝗮𝗹𝗹𝘆? Please fill out this form! We will have meals available for pick-up at 4 different TakeOutSpot locations depending on their current grade level. (Please select Fifth Avenue or Talley Street if you have a K-2 student.) 𝗦𝘁𝗮𝗿𝘁𝗶𝗻𝗴 𝗠𝗼𝗻𝗱𝗮𝘆 𝟯/𝟴 there will be TakeOutSpots at Fifth Avenue and Talley Street for 𝗱𝗮𝗶𝗹𝘆 𝗽𝗶𝗰𝗸-𝘂𝗽 from 11:40 AM - 12:15 PM. Please note that our TakeOutSpots at Renfroe Middle School and Decatur High School will be open for 𝗠𝗪𝗙 𝗽𝗶𝗰𝗸-𝘂𝗽. The time frame at Renfroe Middle School is 𝗠𝗪𝗙 from 12:15 PM - 1:00 PM and the time frame for Decatur High School is 𝗠𝗪𝗙 from 12:45 PM - 1:45 PM. We still need to be able to predict the number of vegetarian meals or special diets that will be picked up at these sites. By filling out this form, you will be helping us better forecast our vegetarian meal counts.
𝗪𝗵𝗲𝗿𝗲 𝘄𝗶𝗹𝗹 𝗺𝘆 𝗶𝗻-𝗽𝗲𝗿𝘀𝗼𝗻 𝗰𝗵𝗶𝗹𝗱 𝗽𝗶𝗰𝗸 𝘂𝗽 𝘁𝗵𝗲𝗶𝗿 𝗺𝗲𝗮𝗹𝘀 𝗮𝘁 𝘁𝗵𝗲𝗶𝗿 𝘀𝗰𝗵𝗼𝗼𝗹? We are going to send all vegetarian meals and all special diet meals to the front office of all CSD buildings. Please remind your child that they must stop by the front office as they exit the building to receive their food. As we refine these processes, this pick-up location MAY change depending on the school site.
𝗪𝗵𝗮𝘁 𝗶𝘀 𝗮 𝘀𝗽𝗲𝗰𝗶𝗮𝗹 𝗱𝗶𝗲𝘁? A special dietary need is one that requires medical documentation by filling out the form "Medical Statement for Accommodating Disabilities" on our Special Diets Webpage. Some examples of special dietary needs are gluten-free, specific food allergies, texture modifications, etc. See this link:
with the filled out form to begin the necessary steps for dietary accommodations. Note that it may take some time to ensure that all of a specific child's dietary needs can be met by our department. We will do our absolute best to ensure that we can meet your child's dietary needs while also considering the needs of our department.
𝗥𝗲𝗺𝗶𝗻𝗱𝗲𝗿: ALL meals are FREE of charge until the end of the school year. By taking a daily meal from us, you are supporting our nutrition program and helping our department function as it normally would.
If you have questions, please visit our CSD webpage here:
You can email CSD Meals at "
" for questions and concerns.
For the question above, please write the email address of the parent/guardian completing the form. You will be emailed your "response receipts" to this email account to confirm that you filled out this form.
Phone number of primary contact - for potential diet questions
Student's Last Name
Student's First Name
Please select your child's school site.
My HS child is learning virtually. Picking up at CSD TakeOutSpot at Decatur High School MWF from 12:45 PM - 1:45 PM.
My MS child is learning virtually. Picking up at CSD TakeOutSpot at Renfroe Middle School MWF from 12:15 PM - 1:00 PM.
My ES child is learning virtually. Picking up at CSD TakeOutSpot at F.AVE daily from 11:40 AM -12:15 PM.
My ES child is learning virtually. Picking up at CSD TakeOutSpot at Talley Street daily from 11:40 AM -12:15 PM.
Winnona Park Elementary
Fifth Avenue Upper Elementary School
Talley St. Upper Elementary School
In-Person Renfroe Middle School
In-Person Decatur High School
Please select the appropriate option for filling out this form. Special dietary needs requires medical documentation by filling out the form "Medical Statement for Accommodating Disabilities" on our Special Diets Webpage. See this link:
My child has a special dietary need. I will fill out the form ""Medical Statement for Accommodating Disabilities" and then contact
Do you want to opt out of taking of milk? *You cannot change the quantity or flavor of milk received*
Yes, I will take milk with my meals. I understand that I will receive both chocolate and white milk.
No, I don't want to take milk this week.
I have a need for lactose-free milk AND I have filled out & returned the necessary form called "CSD School Nutrition Milk Substitution Form" under the "Special Diets" tab on the CSD Nutrition webpage.
All meals served will be free of charge. Please see our current menus on the CSD Nutrition webpage.
The CSD Nutrition department is operating under a meal program called "Seamless Summer Option," which is supported by the USDA. As we transition to this new program all students will be provided BOTH breakfast and lunch meals. We will not be allowing students to opt out breakfast. We encourage you to try our breakfast as it's an important part of a healthy diet!
Yes, I understand that I will receive both breakfast and lunch.
A copy of your responses will be emailed to the address you provided.
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