Meal Pick Up Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Meal Pick Up Form

You must have money on your account ahead of time if you are reduced meals or full pay. You can make a deposit online at https://sendmoneytoschool.com. You will need to know the student ID number. Pick up will be at the high school cafeteria door between 9-10 am. The cafeteria door is located on the east (left side) of the high school back by woodshop area. The money for the meals will be taken off students account when they sign up no matter if they pick it up or not. If you have any questions please contact Matt Moore at 269-948-4417 or matt.moore@hassk12.org.

Student First Name: *

Student Last Name: *

Student ID Number: *

Pick Up Date: Select either a Monday or Thursday for pick up on the calendar *

YYYY

Breakfast Options: Choose 2 or 3 *

Served with a fruit/juice and milk

Cereal with Cheesestick

Poptart

Muffin with Cheesestick

Benefit Bar Banana Chocolate

Benefit Bar Apple Cinnamon

Breakfast Sandwich

Required

Lunch Options: choose 2 or 3 *

Served with vegetable, fruit, and a milk

French Bread Pizza

PB&J

Macaroni and cheese with dinner roll

Hamburger with bun

Hotdog with bun

Breaded chicken sandwich with bun

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Hastings Area School System. Report Abuse

Forms