Meal Request Form

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Meal Request Form

MS/HS students will be remote for February 16-18, 2022. You may pick up your remote meals on Wednesday, February 16 between Noon and 2:30pm at the back of the High School at door #17.

Breakfast/Lunch: Three days will be provided in one pick up on Wednesday.

Meals can be requested for any MS/HS student. Please complete a new form for each student. Questions, please call 518-966-5070 x501 or x429.

Student Name (Last Name, First Name) *

My student would like to receive the following meals: *

Just Breakfast (pre-packed and includes milk, fruit and juice, plus daily entree)

Just Lunch (pre-packed and includes a daily entree, vegetable, bread, fruit and milk)

Breakfast and Lunch (as described above)

I do not wish to receive means this week

Required

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