MEAL PICK UP FORM            
Please fill out the form below to request school meals.

Students will receive a breakfast & lunch per meal requested.
 
Meals must be picked up between 11:30 AM & 12:30 PM.

All meals will be packaged cold and will need heated.

Please complete one form, per household.
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Date *
MM
/
DD
/
YYYY
Number of students in household. (Please include PreK students in count) *
Names of PK-12 students in household. (Please include first and last names) *
I will be picking up the meals at the following location. *
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