Student Meals During COVID Closing
PLEASE COMPLETE THIS FORM FOR EACH CHILD YOU HAVE AT CCSA.

We are pleased to inform you that we will have student meals available for pick up at CCSA on

Monday, April 13 from 9:00am - 1:00pm.
-- You will be provided with 5 breakfasts and 5 lunches for each student.

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Child's Name (LastName, FirstName) *
Grade *
On Monday, April 13 (b/w 9:00am - 1:00pm), will you pick up meals (breakfast & lunch) for 5 days for your child? *
What is your child's lunch number or StudentID number OR write Non-CCSA student?
Submit
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