Meals for students on quarantine

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

You can fill out this form to request Meal pick-up for your student(s) when in quarantine. Meals will be prepared the day after request is made for pick-up at the elementary school Mondays from 10:00-10:30 AM and Tuesday-Friday 9-9:30 AM. If you can't pick up meals on a day requested, please let foodservice know, as three missed meal pick-ups will result in no more meals being prepared for your quarantined student(s).

Email *

Your name

First and last name and grade of student(s) needing meals (eg. Michelle Jeffries grade 6) *

Please Check One

Yes, I would like meals while my child(ren) quarantines

No, I would not like meals while my child(ren) quarantines

Days meals requested for pick-up

Monday

Tuesday

Wednesday

Thursday

Friday

My whole family is currently quarantining, so I need to pick up my students meals outside the building.

Yes, we are all quarantining

No, only my students are quarantining

Please call Winlock Miller Elementary School and ask for Lorena Gomez or Foodservice at 360-785-3516, if you have any questions, or you can't pick up your requested meals.

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Winlock School District. Report Abuse

Forms