Breakfast and Lunch for Remote Learners
This form is for all enrolled UPK - 12th grade  students to indicate if they would like a free breakfast and lunch to be provided by Hannibal Central School District.  This form must be filled out for EACH student that will have a meals prepared for them.  

Meals must be picked up EACH Wednesday at DMK from 3:00 to 5:30.  A map and directions will be E-mailed to you so please make sure you use an address that you regularly check.  

If you sign up by Wednesday (from the previous week), you will be able to pick up your meals starting at 3:00 - 5:30 at DMK.   You only need to sign up once.
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Email *
Is your child enrolled in the district and remote learning? *
Student First Name *
Student Last Name *
Student's grade for the 2020-2021 school year *
Student Date of Birth *
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Parent First and Last name *
Parent Phone number *
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Parent E-mail address  (please make sure it is typed in properly, this is how you will receive messages) *
Do you understand that this pick up is EACH Wednesday afternoon from 3:00 - 5:30 and will include breakfast and lunch for 5 (five) days. *
Required
Who is(are) the designated adult(s) who is(are) picking up meals on Wednesday from 3:00 - 5:30?   *
Acknowledge that you will call 315-564-7932 from 7:00 - 2:00 Monday - Thursday for questions or E-mail: nyounglove@hannibalcsd.org       You only need to sign up once (not each week for each child).   *
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