HCS December Holiday Recess Meal Request

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Please complete this form to indicate your interest in receiving free breakfast and lunch meals available to HCS students during the December Holiday Recess.

Meals will be available for pick up at the HCS Cafeteria back door (Main Street bus loop) from 10:30 - 11:30 on:

Tuesday, December 22nd (2 days of breakfast and lunch per student for 12/23 & 12/24)
Monday, December 28th (4 days of breakfast and lunch per student for 12/28 - 12/31)

See the HCS website for additional details and email Meals@honeoye.org with questions or to request individual contact from Mrs. Lowe or Mr. Bastian regarding participation in this free "meals for recess" initiative.

电子邮件地址 *

Parent/guardian contact information: (Please list name & phone number here.) *

Name(s) of my HCS student(s): (Please list all of your school-aged children. We will provide one set of meals for each child listed for each day covered.) *

I would like meals for my children for two days on Tuesday, December 22nd. I or a family representative will pick them up between 10:30 - 11:30. *

Yes

I would like meals for my children for four days on Monday, December 28th. I or a family representative will pick them up between 10:30 - 11:30. *

Yes

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