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DAILY Lunch Form
Bloomfield Community Schools would like to still offer school lunches to families to help out. Please fill out the form below by 12:00PM (NOON) on Monday for the whole week. LUNCHES WILL END JUNE 30, 2020.
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* Indicates required question
Parent / Guardian of the House
*
Your answer
Would you like lunch on June 30? Pickup will be on Tuesday from 12 to 12:30 at Door 1 at the Elementary School. Lunches will end June 30, 2020.
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Yes
NO
Please put the number of CHOCOLATE Milk you would like. (Sorry there will be no more white or strawberry milk).
*
Your answer
Names of Children Being Served with Grade Level (1 meal per child & NO SECONDS)(Example: Becky, 4, Matt, 2):
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Your answer
How many school-aged (K-12) student(s) do I have in the household?
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1
2
3
4
5
6
7
How many LUNCHES do I need each day for ages 1-18?
*
1
2
3
4
5
6
7
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