USC Meal Order for Pick-Up for  June 1-4
Complete this form by 10 PM on Monday, May 31, if you want to order Pick-Up Meals for your student on these dates: June 1-4.  IMPORTANT: Order Pick-Up Meals only for students who are distance learning by family choice or who are quarantined.

Pick-Up Information:  All students except those who live in Wells will continue picking up meals at FIRE STATIONS from 11:00-11:30 AM.  WELLS STUDENTS will pick up their ordered meals at the SCHOOL BUS GARAGE from 10:45-11:45 AM.

- COMPLETE A SEPARATE FORM FOR EACH CHILD.

- All students EXCEPT those who live in Wells will continue picking up meals at FIRE STATIONS from 11:00-11:30 AM.  Wells Students will pick up their ordered meals at the SCHOOL BUS GARAGE from 10:45-11:45 AM.

- FIRE STATION PICK-UP LOCATIONS: Bricelyn, Easton, Freeborn, Kiester, and Walters

* USDA has extended the FREE meals wavier to continue for all children enrolled in our district throughout the 2020-21 school year. USC will provide free meals to all students in our district.
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First Name of Person Completing this Form *
Last Name of Person Completing this Form *
Student's First Name (Reminder:  Complete a separate form for each child.) *
Student's Last Name *
Grade Level of Student *
On which days do you need a meal for your student?
Note: All grade levels are now in distance learning.  Only order Pick-Up Meals for students who are distance learning by family choice or who are out of the building for other reasons.
Tues., June 1
Check if you want a meal for your student on this day.
Wed., June 2
Check if you want a meal for your student on this day.
Thurs., June 3
Check if you want a meal for your student on this day.
Fri., June 4
Check if you want a meal for your student on this day.
Meal pick-up for NON-WELLS STUDENTS is between 11:00-11:30 AM.  From which FIRE STATION will you pick up meals for your non-Wells students?
Clear selection
Meal pick-up for WELLS STUDENTS is at the SCHOOL BUS GARAGE between 10:45-11:45 AM.  Does your student live in Wells?
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Does your child have a documented doctor's order for a special diet or food allergy? *
If so, please list:
Submit
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