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Charles Harker School Breakfast Form 22-23 School Year
Breakfast includes a grain, a fruit, a 100% fruit juice, and a milk.
Breakfast-$1.50
Free/Reduced-$0
STUDENTS WILL BE CHARGED $1.50 EVERY DAY IF THEY TAKE A BREAKFAST.
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* Indicates required question
Homeroom Teacher's Name
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BAUER
BIDDLE
CANCILA
CICCHINI
COLLELURI
DITTERT
DOMINIK
DONAHUE
FERRARA
FLOYD
GAIDIS
HEALEY
HEHN
KLINE
MACGUIGAN
OGBIN
OLIVA
ORTEGA
PETERS
POULSON
ROBERTO
SERPIELLO
SHOLDERS
SNYDER
SOLEMN
SPICER
STEINMETZ
TAORMINA
WATKINS
WILLEY
WYGANT
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Student 4 Digit Lunch ID#
Your answer
My student will be eating breakfast EVERYDAY in school for the 2022-2023 school year.
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Yes
No
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