Virtual/Quarantine Learners Meal Order Form

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You only have to fill out one form per family. For student name, you may just provide the name of one child. Cutoff time is NOON on Thursday for the week. Meals for the week will be picked up on Monday between 8am and 11am.

Email *

Student First Name *

Student Last Name *

Number of children under the age of 18 that live in the home.

Clear selection

Pick Up Method *

I will come to the school to pick up my meals on Monday's between 8:00am-10:00am.

I would like to have my meals delivered. (If you select this response then please provide the delivery address.)

If you would like your meals delivered. Please include the address. (this is on a case by case basis)

Please provide your preferred phone number, in case we have questions.

Parents will have the option to order breakfast meals only and/or lunch meals. Please check the options you wish to order. *

Monday Breakfast

Monday Lunch

Tuesday Breakfast

Tuesday Lunch

Wednesday Breakfast

Wednesday Lunch

Thursday Breakfast

Thursday Lunch

Friday Breakfast

Friday Lunch

Check this box if you wish to order both breakfast and lunch meals for all 5 days

Required

Submit

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