Campbellsport School District- Free Breakfast/Lunch Program for All District Enrolled Students
The Campbellsport School District will be virtual learning after Thanksgiving - November 30, 2020 thru December 4, 2020 and After the New Year January 4, 2021 thru January 8, 2021.

The District wants to ensure that ALL Campbellsport School District students are provided the opportunity for this FREE breakfast/lunch Grab N Go Program.

ALL students will need to complete this Google Form to sign up for either Home Delivery or Pick Up during these Virtual Learning Weeks.

*Pick-up dates will be December 1, 2020 for (11/30/2020 to 12/4/2020 - 5 breakfasts/5 lunches)
January 5, 2021 for (1/4/2021 to 1/8/2021 - 5 breakfasts/5 lunches)

*Home Delivery will be daily the week of 11/30/2020 to 12/4/2020 and 1/4/2021 to 1/8/2021

NOTE: To ensure that the routes are ready for delivery, please complete this form by 11/27/2020.
Forms received after that day will be incorporated into the pick-up/delivery dates based on when
the form is received.

Reminder: Students are not charged for meals via USDA/DPI Food & Nutrition updates to the SSO waiver for Campbellsport School District.

If you have questions or need to suspend lunch for any day, please contact Michele Eilbes at 920-533-1270 or email: meilbes@csd.k12.wi.us
Email address *
Please Provide Child's First & Last Name *
Please Provide Child's First & Last Name
Please Provide Child's First & Last Name
Please Provide Child's First & Last Name
Please Provide Child's First & Last Name
Please Provide Child's First & Last Name
Will You Be Pick-Up OR Home Delivery? *
Required
PICK-UP ONLY: Where will you be picking up?
Clear selection
DELIVERY ONLY: Please Provide Home Address
Notes-Do you have a specific spot to leave the Food/Do you have a Dog/Other Instructions
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