Heritage Remote Meals Pick up Form

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Please complete this form if you will be picking up meals for your virtual student(s).

The pick up location for your order will be at Vails Gate STEAM Academy on THURSDAY January 6, 2022 from 2PM-4PM.

5 days of breakfast and lunch will be provided for each student enrolled in Heritage Middle School. Please note that these meals are only for students that were not able to attend school in person from January 3-7, 2022.

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Por favor llene este formulario si desea recoger comida para su hijo/hija que han estado recibiendo instruccion virtualment esta semana.

El lugar para recoger la comida es Heritage Middle School el jueves, 6 de enero de 2:00pm a 4:00pm.

Recibira 5 dias de desayuno y almuerzo para cada estudiante inscrito en la escuela Vails Gate. Tenga en cuenta que esta comida es solo para los estudiantes que no pudieron asistir a la escuela en persona del 3 al 7 de enero.

Name(s) of Heritage Middle School student(s) you are picking up meals for / Nombre de los estudiantes: *

If your student requires a special diet/allergy accommodation, please list here / Si el estudiante tiene alergias a alguna comida, favor de indicar esa informacion aqui:

Name of person picking up meals / Nombre de la persona que recogerá la comida: *

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