Parent Information

First Name*

Last Name*

Email*

Phone*

Student Information

First Name*

Last Name*

Lunch Order

Pre-K2 through Kindergarten lunches are $4.75/day. Please fill out one form per child.

Please Choose Which Day(s) of the Week Your Child Would Like Lunch:*

Monday - $4.75 Tuesday - $4.75 Wednesday - $4.75 Thursday - $4.75 Friday - $4.75

Beverage Only Order

The Beverage Only Option provides your student with the choice of bottled water or milk for $56.25 for the semester. Please fill out one form per child.

I would like to enroll my student in the Beverage Only program.*

Yes No

Please send a confirmation email to the address below*: