LFNO Week 2 Meal Service Request Form

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**You do not need to complete this form if you will not be participating in LFNO Meal Services for Week 2.**
Please complete this form for EACH STUDENT you are requesting a meal kit for.
Week 2 Pickup Windows: Monday, Aug. 31th (10am-2pm) AND Tuesday, Sept. 1 (10am-2pm)
Note: Unless you qualify for Free Lunch, prepayment is required prior to picking up meal kit(s).

Email *

Student First Name *

Student Last Name *

Grade Level *

I am requesting a meal kit for Week 2 of LFNO Virtual Learning (8/31-9/4). *

yes

Who will be picking up meal kits for you student? (Note: Students are not required to be present for pickup, but parents, guardians, or designated adults must fill out a consent form with student information for each meal kit being picked up.) *

Parent or guardian

Other:

Do you have any dietary restrictions? Yes or No. (If yes, please specify.)

I understand that unless I qualify for "Free Lunch" that am required to PREPAY for weekly meal kits via MySchoolBucks or mailed check. *

Yes

Required

Please provide any feedback you have about Meal Services for 2020-21. (optional)

Send me a copy of my responses.

Submit

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