HOT Lunch Request Form (October 3-31, 2022)

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By completing this form, you are signing up for staff at JW Grier to PREPARE and DELIVER a hot lunch for you.
Three (3) No-Shows to pick up lunch in a semester will result in J.W. Grier not preparing and delivering a lunch for you for the remainder of the semester.

Last Name *

First Name *

CMS Student ID number *

Cell Phone Number *

I understand that I must complete a Free/Reduced Lunch Application at the following website to be approved to receive free/reduced lunch. https://www.cms.k12.nc.us/cmsdepartments/nutrition/Pages/FreeandReducedMeals.aspx *

Yes

Required

Check the days that you wish to receive lunch for the period of October 3-31. *

Mondays

Tuesdays

Wednesdays

Thursdays

Fridays

Required

I understand that I must complete the lunch form on a monthly basis for JW Grier to prepare and deliver a lunch for me. *

Yes

I understand that three (3) No-Shows to pick up lunch in a semester will result in JW Grier not preparing or delivering a lunch for me for the remainder of the semester. *

Yes

Required

Submit

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