Student e-Learning Meal Order Form
Sylacauga City Schools students who are learning from home may order FREE breakfast and lunch meals for curbside pickup. Parents will need to complete this form by 2:00 p.m. the day before pickup.  

Meals can be picked up from the designated area of your child's school between 11:30 and 12 noon. To complete the form, give the name of the parent / guardian picking up the meals, a contact phone number, the names of students who are doing E-Learning from home, and select the school from where you want to pick up the meals.

ALL MEALS ARE FREE OF CHARGE!

Please call the cafeteria number of the school from where you wish to pick up meals if you have any questions.

Lisa Garrett, CNP Manager, Indian Valley          256-249-0041
Amy Smith, CNP Manager, NLMS                       256-249-0631
Brooke Clary, CNP Manager, Pinecrest              256-245-3355
Beth Casaday, CNP Manager, SHS                     256-245-6431


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Names of children for whom you are picking up meals: *
First and Last Name of Parent / Guardian (must be person picking up meals) *
Daytime phone number for Parent / Guardian *
School where you wish to pick up meals: *
USDA Nondiscrimination Statement
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race,
color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.  

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits.  Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339.  Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

(1) mail: U.S. Department of Agriculture
Office of the Assistant Secretary for Civil Rights
1400 Independence Avenue, SW
Washington, D.C. 20250-9410;

(2) fax: (202) 690-7442; or

(3) email: program.intake@usda.gov.

This institution is an equal opportunity provider.


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