School Meal Request Form
Pulaski County Schools 2020-2021
>> PLEASE READ <<
Dear Pulaski County Families,

The Pulaski County School District has just been approved to serve meals to a wider group of children. The USDA and Kentucky Department of Education now allow us to operate under the Summer Feeding Program guidelines. If your child already receives meals each week, there's no need to sign up again. If, however, your child meets the expanded eligibility guidelines, please complete the form below.

WHO IS ELIGIBLE?
-- Free meals for ALL children, 18 years old and younger.
-- Free meals for students with disabilities, enrolled in school, to age 21.

GENERAL INFORMATION
-- Curbside/drive through pickup service at all fourteen Pulaski County schools.
-- Five breakfast and five lunch meals may be picked up once per week.
-- Meal pickup time is from 9:00 AM until 1:30 PM, Monday through Friday.
-- Cafeterias at each school have been serving meals to students enrolled in the Pulaski County School District since August 24, 2020, under the National School Lunch Program (NSLP). We are now operating under the Summer Feeding Program guidelines.

Thank you for the honor of serving your child during this unusual time. The Pulaski County Schools food service department is committed to offering the highest quality service to your children as we engage in learning at home. For more information call 606-679-1123, and ask for Mercedes Rutheford, Mary Worley, or Carylon Burdine.

Food Service Department
Pulaski County Schools

*The Pulaski County School System does not discriminate on the basis of age, race, color, national origin, religion, sex, disability, or any other protected characteristic, as required by all applicable federal, state, and local laws, in employment or the provision of services.
>> PARENT/GUARDIAN INFORMATION <<
What is the name of the parent/guardian who is completing this form? *
What is the phone number of the parent/guardian who is completing this form? *
>> STUDENT INFORMATION <<
What is the FIRST NAME of the student for whom meals are requested? *
What is the LAST NAME of the student for whom meals are requested? *
What school does this student attend (2020-2021)? *
How many breakfast meals will this student need per week? *
How many lunch meals will this student need per week? *
Where do you want to pick up this student's meals? *
You have the choice to pick up a meal each day, or you can pick up all meals for the week on a single day. How do you plan to collect these meals? *
Please press "submit" below. If you have another child for whom you would like to request meals, please press "submit" and follow instructions to complete the form again.
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