Estelline Lunch Request

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Lunch service will continue to be offered during the school closure.

The last day of meal service will be MAY 1, 2020.

Please complete this form by 8:00am for EACH DAY a meal is requested. Requests made by 8:00am can be accommodated for that same day.

We are only able to support this lunch service for currently enrolled PK-12 Estelline District students.

There is NO COST to you for the meal.
A free breakfast to cover the following morning will also be included.

If you experience difficulties with this form, please text your request to 605-690-8471.

Name of Requestor *

Number of meals needed on each day: Please list date and # of meals *

APRIL 14 - APRIL 17 (No meals Monday): Day(s) meal is needed *

Tuesday 4/14

Wednesday 4/15

Thursday 4/16

Friday 4/17

I need meals everyday the week of 4/14 - 4/17

Required

APRIL 20 - APRIL 24: Day(s) meal is needed *

Monday 4/20

Tueday 4/21

Wednesday 4/22

Thursday 4/23

Friday 4/24

I need meals everyday the week of 4/20 - 4/24

Required

APRIL 27 - MAY 1: Day(s) meal is needed *

Monday 4/27

Tueday 4/28

Wednesday 4/29

Thursday 4/30

Friday 5/1

I need meals everyday the week of 4/27 - 5/1

Required

Full Address for meal delivery *

Full name(s) of student(s) needing a meal (for entry into school food system) *

Phone number to reach in case of questions *

Any known food allergies, if none, type N/A *

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