School Closing Meal Requests

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

A school lunch and breakfast will be provided for all students grades Pre-K-12 starting during this remote learning period. If your household is needing school meal accommodations and/or meals in the event of a school closure, please respond below.

Food deliveries will begin Monday, November 16, 2020 and continue on Mondays and Thursdays throughout the school closure.

The total number of children in household: *

Last name of household: *

First name of household: *

Address for delivery (House number, street, and town): *

Phone number for someone at delivery location: *

Do you have any school-known food allergies? Please list. *

If your child regularly rides a bus, please indicate the bus number. If you do not know, or your child does not typically ride a bus, please leave response blank.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Illini Central School District #189. Report Abuse

Forms