Phoenix Elementary School District #1 Request to Discontinue At-Home Meal Delivery

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Please enter the required information to discontinue meal deliveries. If, at any time you would like to begin meal deliveries, please fill out the "Request for Home Delivery of Meals" form.

Option 1

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Parent/Guardian First and Last Name *

Parent/Guardian delivery address *

Parent/Guardian Telephone (i.e. 602-999-9999) *

Opt-out of Meal Deliveries

By entering your name below, all eligible children 18 and younger will no longer receive meal deliveries.

Parent/Guardian Signature *

This institution is an equal opportunity provider

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