Grab and Go Meal request for Thursday, March 26
Thank you for taking the time to complete this form to help us to determine the number of meals needed for our families. Please complete by Monday at 5pm.

Meals are free to children ages 1-18 in the Louisville Community. We will have 5 days worth of grab and go breakfast and lunches packaged for pick up on Thursday, March 26 from 10 – noon and from 5-6pm in front of Louisville Elementary School. All meals are picked up at one time.

The USDA has permitted Louisville Schools to distribute meals as a “targeted outreach site,” meaning we can only provide meals to families in our school community. Children must be present to receive a meal. We are required to record the names of students receiving meals.
Email address *
How many children ages 1-18 in your family need meals provided by Louisville City Schools on March 26? *
When will you pick up your meals? (select one, meals are the same during both times.) *
I understand that meal pickup times are from 10-noon and 5-6pm and that my children need to be present at the time of pick up. If my child has a food allergy, I understand that I am fully responsible for ensuring that they do not consume foods that will cause them to be sick. *
Phone Number *
Your answer
Child #1 First & Last Name *
Your answer
Child #2 First & Last Name
Your answer
Child #3 First & Last Name
Your answer
Child #4 First & Last Name
Your answer
Child #5 First & Last Name
Your answer
Child #6 First & Last Name
Your answer
Child #7 First & Last Name
Your answer
Does your child(ren) live in the district yet attend a school, not in the Lousiville City School system? If yes, what school?
Your answer
Parents, if you have lost a job or have experienced a reduction in pay, please complete a free/reduced application. You can mail the application to the central office or drop off LES when you pick up your food. If you qualify, the meal benefits will be available when your child returns to school and will carry over for the first thirty days of the next school year. We will have applications at LES on meal serve days or they can be found on the district webpage and can be completed online at payschoolscentral.com. Link: https://www.louisvillecityschools.oh.schools.bz/administration/nutritional-services
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