Elementary Extras Allowance Form
This form is to grant permission for your child(ren) in Grades K-4 to purchase one additional food item at lunch. This form need only be completed once for each child listed. This allowance is valid until requested otherwise using this form.

The following food items can be purchased at the stated cost as an extra meal component for elementary students:
Extra Entrée (i.e. Pizza, Chicken Nuggets, Tacos) - $1.35
Extra Fruit - $0.75
Extra main hot vegetable choice (ex. Potato, baked beans, glazed carrots etc.) - $0.75

Please Note:
1. Students must have a positive fund balance to be able to purchase these extra items
2. Free/Reduced Meal Benefit families must provide funds to cover these extra items
3. Students may purchase an additional milk ($0.50) or a 10 oz. water bottle ($0.60) without completing this form
4. Extra treats cannot be purchased
5. All purchases can be viewed in Skyward under the student’s account

Please include your email on file with Skyward.

Email address *
Email address: *
Your answer
I wish to: *
Please list your student's full name: *
Your answer
Please initial here that you allow these changes to be made to your student's account: *
Your answer
Please email our Food Service Administrative Assistant Marlyce Plante at plante@sartell.k12.mn.us.
A copy of your responses will be emailed to the address you provided.
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