Bemidji Schools Meal Request Survey

Bemidji Schools Meal Request Survey

ISD 31 will furnish meals (breakfast and lunch) to Bemidji area children. In order to have enough meals at all locations we need you to complete and submit this form as accurately as possible.
Parent/Guardian Name*
Phone Number*

Area CodePhone Number
How many children will require meals?*
Name of Child 1
School Attending
Name of Child 2
School Attending
Name of Child 3
School Attending
Name of Child 4
School Attending
Name of Child 5
School Attending
Name of Child 6
School Attending
Name of Child 7
School Attending
Name of Child 8
School Attending
Please choose one location to pick up your child/children's meals. Meal distribution times are from 8:30-1:00 at all locations, except for Solway and Paul Bunyan Center 8:30-12:30.

Paul Bunyan CenterSolway ElementaryNorthern ElementaryJ.W. Smith ElementaryCentral ElementaryLincoln ElementaryHorace May ElementaryGene Dillon ElementaryMiddle SchoolHigh School
***We understand that there are situations that make it difficult for families to travel to our designated pick-up sites. If this applies to you, please check the box below and provide us with the requested information below so that we can arrange to have meals delivered to your location.
Are you able to pick up meals at any of the above locations?*

Yes I can pick upNo I cannot pick up
Please enter your home address *
NOTICE: Consent must be given by parent or guardian for home delivery. By checking the box below you are agreeing to have your meals delivered to your BUS STOP.*

Yes I consent to home deliveryI will pick up meals at a school location
IF YOU CHOOSE HOME DELIVERY YOU MUST DOWNLOAD, FILL OUT AND SUMBIT THIS FORM:

Consent for Home Meal Delivery
This institution is an equal opportunity provider
Should be Empty: