Milk Program
Please only complete this form if you need to update your milk selection since submitting the enrollment packet.

Please complete the milk program form.  The cost of milk for the year (Monday through Friday) is $65 per child and will be deducted from your FACTS account by September 30, 2023. Please fill out this form for each child in your family.
Sign in to Google to save your progress. Learn more
Email *
Student First Name *
Student Last Name *
Grade Level *
I want my child to receive milk *
Parent First and Last Name *
Should the bill be posted on the parent's payment plan or is there another responsible party that should be billed? *
List the name of the OTHER responsible party (must have an active FACTS payment plan)
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 Saint Columbkille Partnership School. Report Abuse