USC Meal Order for Pick-Up for January 18-22
Complete this form by 10 PM on Sunday, January 17 , if you want to order Pick-Up Meals for your student on these days: January 18-22.

REMEMBER, Grades 5-12 are currently in the HYBRID model, and PreK-4 students attend school every day in the building.
Please review your student's attendance schedule before completing the Meal Pick-Up Form. Only order meals for your 5-12 student on days when the student is not attending school in the building. Only order meals for your PreK-4 student who is a distance learner by family choice.

OTHER IMPORTANT NOTE: All students EXCEPT those who live in Wells will continue picking up meals at FIRE STATIONS from 11:00-11:30 AM. WELLS STUDENTS will pick up their ordered meals at the SCHOOL BUS GARAGE from 10:45-11:45 AM.

- COMPLETE A SEPARATE FORM FOR EACH CHILD.

- All students EXCEPT those who live in Wells will continue picking up meals at FIRE STATIONS from 11:00-11:30 AM. Wells Students will pick up their ordered meals at the SCHOOL BUS GARAGE from 10:45-11:45 AM.

- FIRE STATION PICK-UP LOCATIONS: Bricelyn, Easton, Freeborn, Kiester, and Walters

* USDA has extended the FREE meals wavier to continue for all children enrolled in our district throughout the 2020-21 school year. USC will provide free meals to all students in our district.
First Name of Person Completing this Form *
Last Name of Person Completing this Form *
Student's First Name (Reminder: Complete a separate form for each child.) *
Student's Last Name *
Grade Level of Student *
On which days do you need a meal for your student?
REMEMBER, starting January 4, PreK-4 students will be attending school in the building. Therefore, order Pick-up Meals only for 5th-12th grade students or for PreK-4 students who are distance learners by family choice.
Mon., Jan. 18
Check if you want a meal for your student on this day.
Tues., Jan. 19
Check if you want a meal for your student on this day.
Wed., Jan. 20
Check if you want a meal for your student on this day.
Thurs., Jan. 21
Check if you want a meal for your student on this day.
Fri., Jan. 22
Check if you want a meal for your student on this day.
Meal pick-up for NON-WELLS STUDENTS is between 11:00-11:30 AM. From which FIRE STATION will you pick up meals for your non-Wells students?
Clear selection
Meal pick-up for WELLS STUDENTS is at the SCHOOL BUS GARAGE between 10:45-11:45 AM. Does your student live in Wells?
Clear selection
Does your child have a documented doctor's order for a special diet or food allergy? *
If so, please list:
Submit
Never submit passwords through Google Forms.
This form was created inside of United South Central Public Schools. Report Abuse