I confirm that I have read the policies and rules for the Dr. Hamilton Lunch Program. I understand that this is an optional, user-pay, lunch supervision program. I understand the parent/guardian expectations from the program. Non-payment will be viewed as parental decision not to use the services of the Dr. Hamilton Lunch Program (if home address is within 1.6 km of the school and are required to pay); alternate, off-site, lunch supervision arrangements will be made and are exclusively my responsibility. Typing your name below will serve as your signature: *