Remote Learners Meal Request Form

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Already receiving remote meals? You are all set and do not need to sign up again.

MS/HS students will be remote for Thursday, January 14th and Friday, January 15th. You may pick up your remote meals on Thursday, January 14th between Noon and 1:00pm at the back of the High School at door #17

Breakfast/Lunch: No cost to students from November 2 through June 24, 2021.

Please note - Take home meals are for remote learning days only - not for in-person attendance.

Complete a new form for each student. Questions, please call 518-966-5070 x501 or x429.

Student Name (Last Name, First Name) *

My student would like to receive meals. *

Breakfast (pre-packed and includes milk, fruit and juice, plus daily entree)

Lunch (pre-packed and includes a daily entree, vegetable, bread, fruit and milk)

Breakfast and Lunch (as described above)

I do not wish to participate in the remote food program at this time. (you may sign-up later if you change your mind)

Required

Choose one of the following *

Elementary - Student is fully remote.

Middle School/High School - Student is fully remote.

Middle School/High School Hybrid student

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