Student Meal Account Preferences

Any allergy-related dietary restrictions on file with the school nurse will be entered into students accounts at the beginning of the school year and updated as the school nurse is updated.

We realize that some families may wish to have additional preferences listed on their student's accounts such as religious or other reasons.

If you wish to have other preferences or restrictions listed on your student's account, please fill out the form below and we will do our best to accommodate them as much as possible. Please make sure you fill out a separate form for each student.

If you have any questions Please contact Cindy Workman SNS at 216-831-8600 ext 2261 or cworkman@orangecsd.org.

Sign in to Google to save your progress. Learn more
Email: *
Parent Phone Number *
Student First Name *
Student Last Name
Student ID Number *
Description of Restriction (ex. No Red Dye, etc) *
Days of the Week for the preference/restriction *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Orange City School District. Report Abuse
Google Forms