Hybrid Families Curbside Pick Up Form
While your children are  out for the Winter Break Holiday December 19-January 3, we are providing breakfast and lunch meals at no cost for your children.  Please fill out the form for each student you'd like to pick up meals for and we will have them ready for you.


Pick up date and locations
December 17 pick up meals to include December 18-December 31  - pick up for all of your children 18 and under
Location: Pleasant Grove Middle School, 2540 Green Valley Rd., Rescue , in the bus loop
Hours: Between 7:00-8:00 am or between 11:00-12:00 pm.
Or text Becky at 405-651-5630 if need another time :)
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Student Last Name *
Student First Name *
Student ID - 601xxxx or 600xxxx (Can be found on parent portal or contact school office
What is your child's home school *
Pick Up Order for week of: *
Required
Parent/Guardian Name *
Contact Phone Number *
Contact Email Address
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