SCCSD AMI Days Lunch Order Form
Family Name *
Last name of person picking up or student's name
Your answer
How many students are you feeding? *
Your answer
Please complete the form each week.
For 3/30-4/3, Order by FRIDAY 3/27
For 4/6-4/10, Order by FRIDAY 4/3
For 4/13-4/17, Order by FRIDAY 4/10
Pick Up Dates:
Pick up Time: 11:00am

Mon. March 30 (For 3/30-4/3)
Mon. April 6 (For 4/6-4/10)
Mon. April 13 (For 4/13-4/17)

*****Reminder: No meals will be picked up on Tuesday- Friday. All meals picked-up on Mondays will feed a child for the rest of the week.
Where will you pick up the lunches? *
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