2021-2022 School Lunch Sign-up Form

School Lunch Sign-up Form (one per student)

Students must sign-up to receive school lunch.
Ka'ohao School vends our lunches from a local company, One Love Cafe. Our nutritional school lunch program caters to the unique palates of children and their special dietary needs. We are dedicated to providing our community’s children with delicious food creations that are fresh, local, natural & organic when possible.

The School Lunch Price for the 2021-2022 School Year is free ($0.00) for students. The meal includes:
- Entree, Wholegrains, Fruits, Vegetables, Choice of Milk
- Lunches will be made in a Certified Commercial Kitchen
- Brown Bag Lunches on Field Trip Days
The school is charged $6 for each lunch that is not picked up by a student. If your child enrolls in the lunch program, they must pick up their lunch each day (unless absent).

*Please note that Ka’ohao Public Charter School is part of the National School Lunch Program, which offers a free & reduced school lunch price for families that qualify, contact the school office for more info & sign ups.

All School lunch meals & portions must follow the current National School Lunch Program and USDA dietary guidelines.

Questions/Comments:
- School Lunch Coordinator: Ruth Maiwela - rmaiwela@kaohaoschool.org
- School Lunch Vendor: Shannon Walker - shannon@onelovecafehawaii.com
Student Name

First Name Last Name
Student Grade
Parent Name

First Name Last Name
Parent Email
example@example.com
Parent Phone Number

Area Code Phone Number
IMPORTANT INFORMATION

Cancellation of monthly lunch or milk only plans must be made in writing no later than 7 business days prior to the next month to rmaiwela@kaohaoschool.org.

Students will be automatically enrolled in subsequent months unless we are notified in writing.
Yes, I would like my child to participate in the school lunch program.

School Lunch Everyday School Lunch Monday/Wednesday/Friday Only
No, I do not want to enroll my child in the school lunch program.

No School Lunch

Available for Purchase

August Milk Only Free

Milk can be purchased a la carte. If you are participating the lunch program, you do not need to purchase milk as it is included in the meal.

Quantity
Item subtotal: $ 0.00

Total $ 0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

IMPORTANT PAYMENT INFORMATION

Cancellation of monthly lunch and milk plans must be made in writing no later than 7 business days prior to the next month to rmaiwela@kaohaoschool.org. If you do not cancel your plan, you will be charged.
Should be Empty:

School Lunch Sign-up Form (one per student)