If you would prefer to fill out the form once for breakfast and lunch for the week choose yes or no. (If you choose the week for delivery and would like to cancel it please let the office know).
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Please provide us with the names of the student(s) that will be getting meals delivered. (Please list each of the students first and last names below. Separate them with a comma.) *
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How many students) will be eating breakfast? *
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How many students) will be eating lunch? *
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Will students get the meals by grab and go or would you like them delivered? (If you choose delivery please fill out the address for delivery) *
If you choose delivery, what is the address where the meals be delivered.
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