Lunch Order Form for Remote Learners
FREE food service for remote learning students.

Please fill out ONE order form EACH CHILD.  All orders must be submitted by 8:00 am.  

Thank you!  

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Email *
Student First & Last name:   *
My remote learner is enrolled with the *
I would like a meal for my remote learning student on:
I would like a meal for my remote learning student on:
I would like a meal for my remote learning student on:
I would like a meal for my remote learning student on:
I would like a meal for my remote learning student on:
Pick-up Location
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My student has the following food allergies.  (if your student does not have any food allergies, please mark NONE) *
Parent/Guardian First & Last Name:   *
Parent Phone Number *
A copy of your responses will be emailed to the address you provided.
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