Instructional Fee Waiver Request Form

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Instructional Fee Waiver Request Form

The following student(s) attending Leestown Middle School is a dependent living in my household and is eligible for free or reduced-priced lunch and I hereby request waiver for required instructional fees.

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Email *

Your email

I authorize FCPS Child Nutrition to share my student's meal status with the school's designee and teacher of record (team lead) so that my child can benefit from Fee-Waiver funds. *

Yes

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