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Hybrid Meal Program Registration

Hybrid Meal Program Registration Form

Please complete this registration form as soon as possible if your child is participating in the hybrid model of instruction (in-person and virtually) and you are interested in your child(ren) receiving a free breakfast and lunch.  Students will receive a breakfast and lunch when they are attending school in person. Students will be given meals(s) at the end of the school day as follows:

Students attending in person on Monday & Wednesday will take home a breakfast and lunch on Monday for Tuesday and again on Wednesday for Thursday and Friday

Students attending in person on Tuesday and Thursday will take home a breakfast and lunch on Tuesday for Wednesday and again on Thursday for Friday and Monday. 
1. Parent/Guardian Information
2. Please complete student information:
Space Cell Student First NameStudent Last NameStudent Grade
Student # 1
Student # 2
Student # 3
Student # 4
Student # 5
Student # 6
Student # 7
3. My child(ren) will be attending in-person on (pick one):
4. Students: