Weekly completion of this form is required for parents/guardians who want to pick-up meals for district students enrolled in virtual learning.

• Forms must be submitted by Wednesday at noon (12:00 PM) for pick up on the following Monday. The form will reopen each Monday at 6:00 PM.
  
  
• Adults picking up meals must bring the student's Lunch Card and/or student ID badge for verification.
  
  
• Meals must be picked up between 9:00 and 10:00 AM on Monday at the student's assigned school. Packets will include 5 breakfast and 5 lunch meals.
  
  
• This form must be completed each week for each child.

This institution is an equal opportunity provider.