Lunch/Breakfast Form

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FREE lunch/breakfast resource for children 18 and under
Please complete by 8:30 a.m. the day needed
Call or text 573-576-9318 or email dbristow@meadowheights.k12.mo.us if you have any questions.
Lunch/Breakfast will be delivered on Mondays, Wednesdays, and Fridays. You will receive 2 meals on Mondays and Wednesdays. Due to Easter Break, Lunch/Breakfast will not be available on Friday, April 10 and Monday, April 13.

Number of meals needed: *

Names of children 18 and under *

Pickup Location: *

Meadow Heights Curbside 11:00-12:00

Sedge Store 11:00

Intersection of Hwy. O and Hwy. 72 11:20

Intersection of Hwy. NN and Hwy. 51 11:40

Hwy. 51 Express 12:00

Dates Needed: *

April 6

April 8

April 15

April 17

April 20

April 22

April 24

April 27

April 29

May 1

May 4

May 6

May 8

May 11

May 13

Required

To cancel or modify your meal order please write a short note explaining changes below: *

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