12/4 Meal Sign-up Cohort "B" Students

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By filling this out, you are agreeing to have your student pick up their meals on Friday afternoon, December 4th, for Monday through Wednesday. 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 Friday, December 4th. *

3 breakfasts

2 breakfasts

1 breakfast

No breakfasts

Number of lunches you would like to order for Friday, December 4th. *

3 lunches

2 lunches

1 lunch

No lunches

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

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