Southwestern School District Lunch/Breakfast "Grab and Go" Meal Program
Please fill this form out on a daily basis as you want/need meals for your children. This will allow our staff to prepare the appropriate number of meals required. We ask that you or someone you know pick up the meals at one of the three locations listed. If for some reason you are not able to pick up the meals, we will work to deliver them to your house.
Grab ‘n Go meals will be available for pick up Monday - Friday between the hours of 11:00 a.m. and noon. Each child in the household, 18 years of age and younger, is eligible to receive one FREE breakfast and one FREE lunch on a daily basis.
NOTE; Orders must be received by 9:00 am for same day delivery
Date you are wanting your child to receive lunch
What location will you use for pick up?
Elementary School 1415 Fairplay Street, Hazel Green WI 53811
St. Josephs Catholic Church parking lot - 780 Co Rd Z, Hazel Green, WI 53811
Holy Ghost Immaculate Conception Church 3685 County HHH, Kieler, WI 53812
Delivered to your house - We have no means to pick up or have someone else pick up for us
Please provide the approximate time someone will pick up the lunch.
Please provide address if you are wanting/needing delivery service.
Please provide a phone number
Please select the milk you would like
Please specify any food allergies
How many meals for children under the age of 18 will you be picking up or wanting to be delivered?
Send me a copy of my responses.
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This form was created inside of Southwestern Wisconsin Schoool District.