ASD4 VLA Meal Program Registration
All students enrolled in the ASD4 Virtual Learning Academy will have the opportunity to participate in the VLA Meal Program to receive breakfast and lunch during the 2020-2021 school year. The program is only for 5K - 12th grade students that are registered in Anderson School District 4’s Virtual Learning Academy and does not extend to siblings or other family members that are not enrolled in the academy. Meals will be distributed once weekly and will include a week's worth of breakfast and lunch meals for each registered student. In order to receive meals through the program, please register below.
I would like to register my child to receive meals through the VLA Meal Program.
The meals are only provided for VLA students registered in Anderson School District 4 in grades K5 - 12th grade. Please list the name of the VLA student below that will receive a meal. A separate registration form will need to be completed for each student.
Last Name of Student (as written on the birth certificate)
First Name of Student (as written on the birth certificate)
Where did your child register for the 2020-21 school year?
La France Elementary School
Mount Lebanon Elementary School
Pendleton Elementary School
Townville Elementary School
Riverside Middle School
Pendleton High School
What is the grade level of this student?
The information below will be used to contact you regarding pre-ordering meals, pick up time, location, etc. Please ensure the cell phone number and email address provided is correct. Information and reminders will be sent through text messages and emails.
Parent / Guardian Name
Parent / Guardian Cell Phone Number
Parent / Guardian Email
Guidelines of the VLA Meal Program:
*Once registered, parents must pre-order meals one week in advance. A link will be provided to registered families for pre-ordering. This link will be sent through text messaging and / or email each week. A valid cell number and email address must be on file to receive the pre-order link.
*Breakfast and/or lunch meals will be “grab and go”. Meals will be distributed by pick-up / drive through lines at select locations. More information will be provided to families that register regarding location and time for pick up each week.
*Adults are allowed to pick up meals for a child even if the child is not present. Proof of ASD4 enrollment is required. A VLA Meal card will be provided to each student participating in the program. This should be shown to receive a meal for your child.
*Meals will be provided free of charge to ASD4 students eligible for Free or Reduced meal prices.
*Students on a full paid meal status will be required to pay for their meals at the time of pick up. Parents are encouraged to pay through the online system at
*Please note: If your child has not qualified to receive free or reduced meals, full payment is expected. If you would like to complete a free / reduced lunch application, please visit our website at
You are now registered for the VLA Meal Program. More information will be sent regarding pre-ordering, time and location of pick up, and payment options. Remember to complete a separate form if there are additional VLA students to register. If you have questions, please contact ASD4 Dining Services at 864-403-2062 or Crystal Bays at
Never submit passwords through Google Forms.
This form was created inside of Anderson County School District Four.