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Hot Lunch Program Registration

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Please complete this form for ONE STUDENT.  If you have multiple children, complete a different form for each child.  Required fields marked with an asterisk *

Student Grade:
Answer Required
Do you want to purchase Salchipapa on Wednesdays? *
Answer Required
Do you want to purchase Pizza on Fridays? *
Answer Required
Do you want to purchase a 10-salad punch card for $45?*
Answer Required
Do you want to purchase milk for lunch each day? *
Answer Required