Lunch Request May 4 - May 8
Dear families - Newark Grade School will be offering lunches for all students under the age of 18 for our district and Newark High School District.

Please fill out the form below of how many you will need for students and if you will be picking up or need the lunches delivered. This form is due by 8:30 am on Monday, May 4th.

Pick up times are 11:45 am - 12:30 pm at Newark Grade School. Questions?? Call 815.695.5143 or email or
Email address *
Family/Student (s) Name: *
How many lunches for Monday, May 4th? *
For Lunches on Monday, May 4th: *
How many lunches for Tuesday, May 5th? *
For Lunches on Tuesday, May 5th? *
How many lunches for Wednesday, May 6th? *
For Lunches on Wednesday, May 6th: *
How many lunches for Thursday, May 7th? *
For Lunches on Thursday, May 7th: *
How many lunches for Friday, May 8th? *
For Lunches on Friday, May 8th: *
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This form was created inside of Newark Community Consolidated School District 66.