School Closure Grab and Go Meal Orders
Trussville City Schools will be offering one drive thru pickup location at Hewitt-Trussville Middle School March 30, April 1 and April 3 between the hours of 10:00 AM to 11:00 AM.  

You can pick up food for ANY child in your home age 18 years or younger. Meals will include a lunch for that day and a breakfast and lunch for the following day.  

Fill out this order form before 5:00 PM the day before pickup.  Enter the HTMS front small Visitor parking lot for drive thru pick up. If your child has a food allergy, the packaged meal will be labeled accordingly.

Only submit this order form once.

Do not attend if you or someone in your family is sick.

If you have questions, email Morgan Bean at morgan.bean@trussvillecityschools.com or call 205-228-3034.
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I would like Trussville City Schools to provide breakfast and lunch on Monday, March 30. *
Required
I would like Trussville City Schools to provide breakfast and lunch on Wednesday, April 1. *
Required
I would like Trussville City Schools to provide breakfast and lunch on Friday, April 3. *
Required
How many children are in your household? *
Please list each child's first and last name(s) who the meals will be provided for. *
Ex. Luke Smith
Do any of your children have food allergies?  If so, please list each child's first name and their specific allergy.  When you pick this meal up, please make sure it is labeled correctly. *
Ex. Luke Smith, dairy
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address
If someone other than the parent/guardian will be picking up the meals, please list their first and last name below. *
Disclaimer
USDA Nondiscrimination Statement
In accordance with Federal civil rights law and US. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA. Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: http://www.ascr.usda.gov/complaint_filing_cust.html, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov. This institution is an equal opportunity provider.
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