Meal Order Form - 2020-2021  
Deadline 8:00 am: Meal orders must be entered no later than 8:00 am Monday morning for that current week's meals.

Pick Up: Families that live within Randolph School District. Meals are to be picked up by the STUDENT and/or PARENT/GUARDIAN between 12:00 pm - 1:00 pm from the District Office, Door #8.

*NOTE: Delivery is not available in January, meals must be picked up.

WHO IS ELIGIBLE:
Any school-aged children who meet one of the following requirements:
     > Enrolled in the Randolph School District as a virtual learner.
     > Who are residents of the Randolph School District.

WHAT YOU WILL RECEIVE DAILY:
     > A sacked lunch and breakfast, you can view the "Virtual Menus" on our website  https://www.rsdwi.org/district/food-services.cfm  website under District, then Menus, in the Right Hand Column.

WEEKEND MEALS:
    >Please select if you would like to receive weekend meals. These additional meals (2 breakfasts, 2 lunches) will be packaged and picked up on Friday's.

*In-Person Students Attending RSD: (DO NOT NEED TO SIGN UP ON THIS FORM - INFORMATIONAL ONLY)

**Meals will be need refrigeration. There will be no modifications or substitutions.**

Meals will be available on student in-session school days following the Randolph School District 2020-2021 School Year Calendar.

If you choose not to participate and have already signed up, please call the District Office (920) 326-2427 to be removed from the meal list.


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Parent/Guardian Phone Number: With Area Code *
Parent/Guardian Email: *
How Many Child(ren) Will Need Meals?   - Complete Names on the Following Question *
March - What Week Will You Need a Meal(s)?   Pick Up Only  
Pick Up - 3/8-3/12
Pick Up - 3/15-3/19
Pick Up - 3/22-3/26
March 2021
Weekend Meals (picked up with Friday's meals)
Student/Child #1 First and Last Name, and grade *
Student/Child #1 Meal Type
Student/Child #2 First and Last Name, and grade
Student/Child #2 Meal Type
Student/Child #3 First and Last Name, and grade
Student/Child #3 Meal Type
Student/Child #4 First and Last Name, and grade
Student/Child #4 Meal Type
Student/Child #5 First and Last Name, and grade
Student/Child #5 Meal Type
If you choose not to participate, after you have signed up, please call the District Office (920) 326-2427 to be removed from the meal list.     *
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