Meal Delivery Form
March 16, 2020

New York Mills Public School will be providing breakfast and lunch for all children 18 and under, including pre-school children, beginning Wednesday, March 18, 2020. There will be one delivery each day. IN ORDER TO RECEIVE FOOD DELIVERIES, THE DISTRICT MUST RECEIVE CONSENT FROM FAMILIES TO DELIVER MEALS.

The school is working on the details to provide home delivery of meals directly to the children’s home. Delivery will be along bus routes during the morning hours. Please be patient as we work to put these systems into place.

PLEASE COMPLETE AND RETURN THIS FORM BY NOON, Tuesday, March 17th. Forms received after this time will not receive delivery until the day following receipt.

Delivery cannot begin until consent is received.
Sign in to Google to save your progress. Learn more
Email *
Phone Number *
Delivery Address *
Parent First Name *
Parent Last Name *
Number of children to receive meals *
Student(s) Name and Grade *
Please separate different student information by commas
Grab and Go Meals
Alternatively, “Grab and Go Meals” can be picked up at the New York Mills Commons between the hours of 8:00 am and 11:00 am. Students cannot receive both the delivery and pick up a “Grab and Go Meal”.
If you have any questions or concerns, please contact the district office 218-385-4201.

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of New York Mills Public School. Report Abuse