Lisbon Meal Survey
The Lisbon Community School District is collecting information from families in order to plan and prepare meals for those interested in breakfast and lunch service during this unexpected school closure. This service is free to any Lisbon CSD students age 1-18. We ask that EACH FAMILY complete the survey to indicate their interest (or lack thereof) so that we know all are accounted for. You may contact Michele McCoy at mmccoy@lisbont.k12.ia.us or Julie Light at jlight@lisbon.k12.ia.us if you have any question.

Email *
Family Last Name *
Would you be interested in participating in our school closure meal program? *
How many children in your household (ages 1-18) would be participating? We ask that EACH FAMILY complete the survey to indicate their interest (or lack thereof) so that we know all are accounted for
Do any of your children have any food allergies? Please list.
Which location would your family prefer to pick up their meals at?
Which time frame on (each week) would you prefer for pick up of meals?
Clear selection
By choosing yes, you are giving the Lisbon Community School District consent to having meals delivered directly to your home during the COVID-19 school  closure for your  children. Please put a valid email and phone number on the lines provided below.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lisbon Community School. Report Abuse