HxMS Phase 2 School Meal Pick-Up

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Please fill out this form to help us know who will be taking meals home during the Phase 2 schedule. Please submit one form per student. Cafeteria meals are free to everyone right now! Meals contain breakfast, lunch and milks for the days students will be learning remotely. If your student is quarantined, they are still eligible to get meals during this time.

If you have any questions, please contact Community School Coordinator RaeKenya Walker at: 423-637-7604 or walker_raekenya@hcde.org

Student First and Last Name *

Parent/ Guardian Phone Number *

Does your student come to school on A-days, B-days or are they HCS @ home?

A days (Mon/Tues)

B days (Thurs/ Fri)

HCS @ home

Currently quarantined

When would you like to pick up your student's meals

My student is a car rider and can take meals home

My student is a bus rider and can take meals home

Tuesday 3p- 5p

We can pick up meals on Wednesdays 10a-1p at the school

I need meals but I don't have transportation to pick them up

Clear selection

I understand that I will receive a text from the Community School Coordinator confirming my request and pick up location. *

I understand

Required

Submit

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