Free Lunch Order Form

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The free lunch program offered through the USDA will continue until further notice.

All students previously signed up WILL CONTINUE to receive free lunches for the duration of the program.

THIS FORM IS ONLY FOR STUDENTS NOT CURRENTLY SIGNED UP FOR FREE LUNCH THAT WOULD LIKE TO BE ADDED FOR TO THE LIST. Forms are due by Wednesday of each week, with free lunches beginning on the following Monday.

Today's Date *

YYYY

Child's Name (1 per form) *

Homeroom Teacher *

Grade *

Choose One *

Virtual Only Student: Pick Up Weekly Lunches on specified dates between 1:00 and 2:00.

In-person Student: Lunch delivered daily before the end of the day

Milk Choice *

Chocolate

White

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