Lunch Special Diet Statement/Extras Agreement Form

Special Diet Statement

Please fill out the Special Diet Statement form if your child has any special dietary requests.  This form must be completed by a licensed physician, physician assistant, or registered nurse.  Updates to this form are required only when a participant’s needs changes.

 

Extras Agreement

This form is for those wanting to allow their child to get a second entree at lunch time.

Please fill out this form for new students and/or families who with to make a change to a prior signed agreement.  This agreement will remain in place until withdrawn by the parent/guardian.

 

footer-logo
fb-sttim-logo