Breakfast and Lunch Order Form for Online Learners
Students that are online learners have to be enrolled at one of our five schools to be eligible to pick-up meals. Pick-up for all schools will be at Grinnell High School at the kitchen parking lot (northeast corner of building, the lot has the dumpsters). Pick up times will be 11:00 am to 12:00 pm. You will receive a lunch and a breakfast for the next day. Please fill out DAILY by 8pm the day before you want to pick up meals. We serve meals on scheduled school days only. If you have any questions, call the High School kitchen at 236-2700. ***If you sign up after 8pm it will start the following day***
Email address *
Parent/Guardian Name (First and Last Name) *
Address *
Phone number *
Student #1 First and Last Name (must be enrolled at one of our schools) *
Student #1 School *
Student #1 Grade *
Student #2 First and Last Name (must be enrolled at one of our schools)
Student #2 School
Student #2 Grade
Student #3 First and Last Name (must be enrolled at one of our schools)
Student #3 School
Student #3 Grade
Student #4 First and Last Name (must be enrolled at one of our schools)
Student #4 School
Student #4 Grade
Student #5 First and Last Name (must be enrolled at one of our schools)
Student #5 School
Student #5 Grade
Please pick the days you will pick up *
Required
A copy of your responses will be emailed to the address you provided.
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