NACS Summer Meal Request Form
Please complete this form to request meals during the month of June 2021.   Pickup will be available at Carroll High School, Door 13 from 4pm-6pm on Tuesdays ONLY.  There are 5 pickup days during the month of June, you will choose which days you would like to pickup meals.  

For questions or if you require any changes to pickup, families are invited to contact NACS Food Service by email at erin.greenlee@nacs.k12.in.us

This institution is an equal opportunity provider.
登录 Google 即可保存进度。了解详情
电子邮件地址 *
LAST Name of Oldest Child *
Number of Household Children (ages infant to 18) who will be receiving summer meals *
List each child's name who will be receiving meals (First and Last) *
Parent/Guardian Name (First and Last) *
Parent/Guardian Contact Number *
Please choose all days you will be picking up meals from 4pm-6pm: *
Yes
No
Tuesday, June 1st (Meals for June 1-June 7)
Tuesday, June 8th (Meals for June 8-June 14)
Tuesday, June 15 (Meals for June 15- June 21)
Tuesday, June 22 (Meals for June 22- June 28)
Tuesday, June 29 (Meals for June 29- July 5)
您回复的副本将通过电子邮件发送到您提供的地址。
提交
清除表单内容
切勿通过 Google 表单提交密码。
reCAPTCHA
隐私权条款
此表单是在 Northwest Allen County Schools 内部创建的。 举报滥用行为
Google 表单