Blended Schedule Meal Pick-up
Please complete one form PER HOUSEHOLD by Wednesday 9/9. Meals can be picked up for any child 18 or under. At pick-up please provide the names of the children you are picking up for. Two breakfasts and two lunches will be provided on each pick-up day.

The pick-up schedule is as follows:
Full Virtual Students - pick-up on Mondays and Thursdays
A Schedule Students - pick-up ONLY on Thursdays
B Schedule Students - pick-up ONLY on Mondays

Please type in each child's name in a separate blank. Type NA if you do not need all the spaces. Contact your child's school with any questions.
Total Number of Meals: *
Child 1: Please type the child's first and last name AND any food allergies.
Child 2: Please type the child's first and last name AND any food allergies.
Child 3: Please type the child's first and last name AND any food allergies.
Child 4: Please type the child's first and last name AND any food allergies.
Child 5: Please type the child's first and last name AND any food allergies.
Child 6: Please type the child's first and last name AND any food allergies.
My students are on the following school schedule: *
Required
I will pick up my child's lunch at: *
Required
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