MEAL DISTRIBUTION
Breakfast and lunch is available for children age to the students in your household. Pick up is between 10am-1pm every Monday and Friday in the back parking lot (beginning 12/2)

(If you DO NOT have transportation and are unable to come to DLA to pick up the meals, please indicate and include your address)  
Sign in to Google to save your progress. Learn more
Would you like to receive  meals from DLA? *
I will pick up meals Monday or Friday from 10am-1pm *
Parent Name *
How many children (2-18 y/o)are in the home? *
PLEASE ONLY CONTINUE IF YOU DO NOT HAVE TRANSPORTATION
Please note that ANYONE can pick up your meals for you if the parent is UNABLE.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Dayton Leadership Academies. Report Abuse