SCUC @ Home Grades PK-12 Meal Order Form (11/2-11/6)

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Please complete one form for each student. Meals will be distributed daily at all SCUCISD ELEMENTARY campuses & WILDER INTERMEDIATE and all grades, PK-12, can be picked up at any of these locations. All meals will contain lunch for the current day and breakfast for the following day (any meal can be declined by indicating so on the order form). *Whole Grain

Last Name *

First Name *

ID Number *

Grade *

Pick-Up Campus (where you will go to pick up the meals) *

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