JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Free Meal Pick Up for Jan. 4th-8th, 2021
Sign up for a free breakfast and a free lunch here! E-mail
mboldea@usd375.org
for any questions.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Which location will you be picking up from? (Breakfast and Lunch will be packaged separately, but served together).
*
Circle Greenwich (10:45 AM -1:00 PM)
Circle Middle School (10:45 AM -1:00 PM)
Circle Towanda Primary (10:45 AM -1:00 PM)
Circle Oil Hill (10:45 AM -1:00 PM)
Circle High School (10:45 AM -1:00 PM)
Which days will you be picking up meals? *Please note: Meals will only be available on days that remote and in-person learning are in session. Meals will not be available on weekends or breaks.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Required
List the names of students who will be receiving free meals.
*
Your answer
Free meals are available for children ages 1-18. Do you have any children of non-school age that you would like to pick up for? If so, list their names.
Your answer
List any dietary restrictions that Food Service needs to be aware of.
Your answer
Please provide your name and phone number for contact purposes.
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Circle USD 375.
Report Abuse
Forms
