Meal Pick up form  Nov 25
Meals are being provided for all children  0-18 years of age, free of charge.
Sign up is needed to ensure we are prepared for the amount of meals needed.
Students may only receive 1 breakfast and 1 lunch per day.  If students receive meals in a school building from food service, they can not also receive pick up meals for the same day.  
Sign in to Google to save your progress. Learn more
Email *
 First name of  person picking up meals? Full name will be requested at pick up. *
 Last name of person picking up meals? *
I will be picking ups meals? *
Required
Number of children on AA schedule? ( 3 days of meals for pick up ) "0" if none. *
Number of children on  BB schedule? ( 3 days of meals for pick up ) "0" if none. *
Number of children needing 5 days of meals? (example: Full Virtual, Cave, Preschool, 0-18 not in school).  "0" if none. *
I will be picking up at the following location.  Your information will be sent to that specific school .  Please call the food service office if you need to change location after submitting the form.  Only one location can be chosen.   *
My student has dietary restrictions.  A medical form is required for meal substitutions.   *
I understand that children may only receive one breakfast and lunch per day from CASD Food service. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Chambersburg Area School District. Report Abuse