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2020-2021 Meals Request Form
Please fill out this form to request pick up meals for each student.
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* Indicates required question
Parent/Guardian's Name:
*
Your answer
Parent/Guardian's Phone:
*
Your answer
What Campus does your child attend?
*
Thomas Blvd. in Port Arthur (6th - 12th Grade)
Procter St. in Port Arthur (3rd - 5th Grade)
Memorial Blvd. in Port Arthur (PreK 3 - 2nd Grade)
Orange (PreK 3 - 8th Grade)
Student Name:
*
Your answer
Grade Level:
*
Your answer
Select meals required:
*
Breakfast
Lunch
Required
Select days:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Required
Which do you prefer:
*
Curbside at 3600 Memorial Bld. in Port Arthur (PreK - 2nd)
Curbside at 327 Thomas Blvd. in Port Arthur (3rd - 12th)
Curbside at 1408 W. Park Ave. in Orange
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