Keyport Central OPT OUT Meal Form
This form should only be filled out if you DO NOT want Breakfast & Lunch Meals delivered to your child daily.  If you have more than one child in the elementary school, you must submit one form for each child. Thank you

BREAKFAST AND LUNCH MEALS WILL BE DELIVERED DAILY TO YOUR CHILD'S CLASSROOM UNLESS YOU OPT OUT USING THIS FORM.
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Email *
OPT OUT *
Only submit if you DO NOT want meals for your child
STUDENT'S FIRST AND LAST NAME *
FIRST / LAST NAME
STUDENT'S HOMEROOM # / TEACHER'S NAME *
STUDENT'S GRADE *
NOTES
A copy of your responses will be emailed to the address you provided.
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