PVA Meal Order Form

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PVA Meal Order Form

Free pick up meals are available for PVA students every day school is in session from now until further notice. If you would like to pick up meals for your students, please fill out this form for EACH PVA STUDENT for which you would like meals. Forms will be available each Monday for the following week. Forms must be turned in by 10AM Thursday to ensure meals for the next week. Meals can be picked up each school day from 11:30 to 12:30 Monday through Friday at the Middle School loading dock.

Student Last Name *

Student First Name *

Student Lunch PIN *

Student's Grade *

Student's School *

Name of Parent/Guardian picking up meals *

Reason for meal pick-up *

PVA

Distance Learning (In-person school is closed)

Quarantine

Meals I want to pick up for this student (Please select at least one option for each day) *

Breakfast

Lunch

None

6/1/2021 (Tuesday)

6/2/2021 (Wednesday)

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