ACVSD Snow Day Meal Request Form

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Meals will be provided on "Flexible Instructional Days" to students while participating in remote learning modules provided by Allegheny-Clarion Valley School District. Meal pickup will take place at the Allegheny-Clarion Valley Elementary School. Meals can be picked up between 11:30 a.m. - 12:00 p.m. Meal Delivery will take place at each student's designated bus stop. Meals will be distributed between 10:45 a.m. - 11:45 a.m. Meals will include 2 oz. Meat/Meat Alternate , 8 oz. Fruit, 8 oz. Vegetable, 2 oz. Grain and 8 oz. of fluid milk. The "ACVSD Snow Day Meal Request Form" must be completed for meal service. Please Complete One Form Per Individual Student.

Student First Name: *

Student Middle Name: *

Student Last Name: *

Best Contact Phone Number: *

Which method would you prefer for "Snow Day" meal service? *

Curbside Meal Pickup at Allegheny-Clarion Valley Elementary School (11:30 a.m. - 12:00 p.m.)

Student Bus Stop Meal Delivery (10:45 a.m. - 11:45 a.m.)

Bus Number: (If choosing Student Bus Stop Meal Delivery.) *

N/A (Curbside Meal Pickup)

Bus #2

Bus #3

Bus #4

Bus #5

Bus #6

Bus #7

Bus #8

Bus #9

Bus #10

Bus #11

Bus #12

Bus #16

School Van

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