United Meal Order Form Jan 4-15, 2021

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Distribution will be drive through from at UHS, United North, and United West. This is for all students during our scheduled full remote period between 1-4 and 1-15. Times and reminders for pick up will be sent out once we have our ordering complete.

Email *

Student Names

Number of students receiving meals *

Other:

Required

Dates you plan to pick up meals - please select all dates you plan to pick up.

Tuesday January 5, 2021 (3 days worth of meals)

Thursday January 7, 2021 (2 days worth of meals)

Tuesday January 12, 2021 (3 days worth of meals)

Thursday January 14, 2021 (2 days worth of meals)

Preferred Pick up location - Choose 1 only *

United North Elementary

United West Elementary

United High School

Required

Food Allergy or Restrictions?

Any other comments?

A copy of your responses will be emailed to the address you provided.

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