Carey Student Meals for Pickup Form

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If you have a student who needs meals during the prolonged closure of school please respond to this form.

Email *

Monday, December 14th, Wednesday, December 16th, Monday, January 4th and Wednesday, January 6th , the school cafeteria will be offering “grab and go” breakfast and lunch meals to any student who needs them. The meal pickup will be available from 11am - 12pm at the back door of the cafeteria located at the back end of the building. **You must complete this form to receive a meal.** For more information Call (419)396-7922 x 308 or email ralexander@careyevs.org

Student First Name *

Student Last Name *

Grade Level

Emergency Contact Phone Number *

Name of person picking up. *

Grab and go breakfast and lunch.

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