1/5 Meal Sign-up Cohort "A" Students

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By filling this out, you are agreeing to have your student pick up their meals on Tuesday afternoon, January 5th for Wednesday through Friday. Meals are now free due to the USDA waiver that was approved for Seymour on September 4th.

Email *

Name of student *

Which school does your child attend? *

Seymour High School

Seymour Middle School

Black Creek Middle School

Number of breakfasts you would like to order for Tuesday, January 5th. *

3 breakfasts

2 breakfasts

1 breakfast

No breakfasts

Number of lunches you would like to order for Tuesday, January 5th. *

3 lunches

2 lunches

1 lunch

No breakfasts

A copy of your responses will be emailed to the address you provided.

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