USDA Summer Feed Breakfast/ Lunch Request
As part of the USDA Summer Feed Program, St. Cecilia offers complimentary meals to our students for pickup during NTI and for children who are not enrolled in our school. This means families with younger children may preorder meals and pick meals up at St. Cecilia School.  Children up to 18 years of age are eligible for the free meal.

Meals are available for pick up upon request on days in which school is in session between 11:30-11:45am. Orders must be placed by 9:00am on the day of request. The pickup location is at the main gym entrance.  Pull up by the front doors and if a staff member is not present, please call (859) 363-4314 to notify us you are here to pick up your meal request.  A staff member will bring out the lunch to you.

Our Breakfast and Lunch menus can be viewed on our school website under the Lunch Menu tab: https://saintceciliaschool.net/

Please fill out the form below for your breakfast/lunch request.
Sign in to Google to save your progress. Learn more
Parent/ Guardian First Name *
Parent/ Guardian Last Name *
Date for Request *
MM
/
DD
/
YYYY
Child's First and Last Name #1 Meal Request *
Child #1 Breakfast Order (Refer to Monthly Breakfast Menu for Choices)
Child #1 Lunch Order
Clear selection
Child's First & Last Name #2 Lunch Request
Child #2 Breakfast Order (Refer to Monthly Breakfast Menu for Choices)
Child #2 Lunch Order
Clear selection
Child's First & Last Name #3 Lunch Request
Child #3 Breakfast Order (Refer to Monthly Breakfast Menu for Choices)
Child #3 Lunch Order
Clear selection
Child's First & Last Name #4 for Lunch Request
Child #4 Breakfast Order (Refer to Monthly Breakfast Menu for Choices)
Child #4 Lunch Order
Clear selection
Child's First & Last Name #5 for Lunch Request
Child #5 Breakfast Order (Refer to Monthly Breakfast Menu for Choices)
Child #5 Lunch Order
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Saint Cecilia Catholic Church. Report Abuse