JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Nutrition Services Request for Refund
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
One breakfast and one lunch per day will be free of charge for all students beginning in the 2023-24 school year. If your student has remaining funds in their meal account, these funds will automatically roll over to the 2023-24 school year to be available for ala carte purchases (extra milk, bottles of water, extra meals, etc.). If preferred, you may choose to donate the remaining balance to your school's donation fund, request a refund, or transfer the funds to a sibling. If your student graduates or leaves the district and this form is not completed, remaining funds will automatically be donated to your school's donation fund after August 1, 2023.
How would you like White Bear Lake Area Schools to treat your student's remaining funds?
*
Donate to my student's school donation fund
Mail a refund check to me at the address provided
Transfer funds to a sibling
Parent/Guardian Last Name
*
Your answer
Parent/Guardian First Name
*
Your answer
Street Address, City, State, Zip
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of ISD624.
Report Abuse
Forms
