CPS Meal Pick-up Order Form July 21

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CPS Meal Pick-up Order Form July 21 - August 31

Please sign up for summer meals by providing the information below. Your child will be provided with seven breakfasts and lunches weekly. Meals should be picked up in the front of the Capt. Nathan Hale Middle School on Thursday between 11:00 - 11:30 a.m. Note: Pickup times subject to change

Please note...we are asking for email addresses to generate a response receipt upon submission of the form.

Email *

Name of Parent or Guardian *

Last Name(s) of Students (List all) *

First Name(s) of Students (List all) *

Number of children age 18 or under in the household *

Happy Summer! It is our pleasure to serve you.

Please remember that the free meal benefits were not extended to cover the 2022-2023 school year. Watch your email for the Meal Benefit Application which will be coming out soon! It will be more important than ever to submit the application and Addendum A to be sure you are receiving as many benefits for your student as possible.

A copy of your responses will be emailed to the address you provided.

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