A/B Rotational Model Meal Order Form

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Use this to order meals for when your child is NOT attending school. For example, your child will NOT be in school October 5 and 7; 2 breakfast and 2 lunch meals will be provided.

Child's name (last name, first name) *

Homeroom Teacher *

What session will your child attend? *

School your child attends: *

I understand that meals will be sent home with my child through December unless I contact the cafeteria manager to opt out. *

Yes

Required

I understand that the meals provided will be shelf stable and MAY contain allergens (peanut butter). If I need additional information I will contact the school cafeteria manager. https://www.kenton.k12.ky.us/Content2/23604 *

Yes

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