2023-2024 Pearson Student Meal and Dismissal Plans

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Please fill out this form for EACH child in your family that attends Pearson. The information provided here will help the staff at Pearson plan and prepare to meet your child's needs.

Email *

Record my email address with my response

Student's Legal First Name *

Student's Legal Last Name *

Student's Nickname (name student goes by):

Student's Teacher *

Please specify how your child will go home each day: *

If you answered daycare, please write in the name of the daycare center below:

FOR FULL DAY STUDENTS ONLY: Will your child be eating the school-served breakfast daily? *

Yes

My child's breakfast purchase will depend on the day.

FOR FULL DAY STUDENTS ONLY: Please specify your child's likely lunch:

My child will bring a lunch from home

My child will buy a lunch from the cafeteria

My child's lunch choice (bring lunch or buy lunch) will depend on the day.

Clear selection

Additional Comments

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