VIA DTSOI  - Virtual Student Pick-Up Meal Order Form - Springdale Schools

Formulario de pedido de comida para recoger al distrito
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VIA DTSOI (virtual school) Meal pick up will occur at the new VIA bldg, the south entrance/south building on the Linda Childers Knapp Elementary campus at 2634 Oriole St, Springdale AR 72764. VIA is NEXT DOOR to Linda Childers Knapp (please do not use LCKE entrance). Look for the RED VIA letters. Pick up will be from 12:00pm - 12:30pm. these meals are only available to students who are currently, actively registered in the Virtual Innovation Academy.
Parent/Guardian first name *
Nombre del padre
Parent/Guardian last name *
Apellido del padre
Parent/Guardian phone number *
Número de teléfono de los padres
Parent/Guardian Email (active, regularly checked) *
1.  VIA student's first and last name and Springdale student ID# *
1. Nombre, apellido y edad del niño
2.  VIA student's first and last name and Springdale student ID#
2. Nombre, apellido y edad del niño
3.  VIA student's first and last name and Springdale student ID#
3. Nombre, apellido y edad del niño
4.  VIA student's first and last name and Springdale student ID#
4. Nombre, apellido y edad del niño
5.  VIA student's first and last name and Springdale student ID#
5. Nombre, apellido y edad del niño
6.  VIA student's first and last name and Springdale student ID#
6. Nombre, apellido y edad del niño
7.  VIA student's first and last name and Springdale student ID#
7. Nombre, apellido y edad del niño
8.  VIA student's first and last name and Springdale student ID#
8. Nombre, apellido y edad del niño
Date(s) of food pick-up.  Please select at least one *
Fecha (s) de recogida de alimentos. Seleccione al menos uno
Required
Does your child/children have any food allergies or restrictions? Please provide a doctor's note at the first meal pick up
¿Su hijo (a) tiene alguna alergia o restricción a los alimentos?
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