Hybrid Learning Student At-Home Meal Request Form

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

Rutherford County Schools and Chartwells are providing meals for students to take home for Remote Learning days.

Hybrid Plan A Students

In-Person - Monday & Tuesday students will be provided breakfast & lunch in the classrooms or dining area
Virtual – Wednesday, Thursday & Friday (students will have the opportunity to take 3 breakfast/3 lunches home when leaving school on Tuesday for consumption.)

Hybrid Plan B Students

In-Person – Thursday & Friday students will be provided breakfast & lunch in the classrooms or dining area Virtual – Monday, Tuesday &Wednesday (students will have the opportunity take 3 breakfast/3 lunch home when leaving school on Friday for consumption.)

Student First Name *

Student Last Name *

School your child attends *

Please submit separate forms for each child.

My child is participating in:

Hybrid Plan- A-Day Schedule (I want Wednesday, Thursday & Friday meals sent home each Tuesday)

Hybrid Plan- B-Day Schedule ( I want Monday, Tuesday and Wednesday meals sent home each Friday)

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Rutherford County Schools. Report Abuse

Forms