AMI-X Meal Service Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please complete this survey to assist our food service staff in preparing meals for each delivery site. We will provide breakfast and lunch. Parents or students will need to pick up meals at one of the site locations. We will not deliver to your homes at this time. These meals are for any child ages 1-18 in our school district.

Meal Pick Up Time is between 11:00 - 12:00 each day.

Meals for Tuesday, November 17 -Friday, November 20 are for those students going remotely (JH/HS) since the elementary students will have meals at school. Meals will be provided to ALL students on November 23 and November 24.

Only complete this survey, if you want to have food service during remote learning.

If you have any questions, contact the school.

Email *

Which of the locations will you pick up your meals? *

Grant City - School South Parking Lot

Sheridan - Community Center

Allendale - Community Center

Denver - School House

Worth - Community Center

Required

What is your student's last name? *

What is your student's first name?

What grade is your student in? *

I have another child to sign up. *

Yes

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Worth County R-III. Report Abuse

Forms