School Cafe Refund Request

School Cafe Refund Request

VAISD
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student's Name
Student ID
Account Balance
Campus
Choose one of the two options below:
1. I am requesting a refund of any remaining funds in the Van Alstyne lunchroom account of the student listed above. I understand that the District will issue a check within two weeks. Funds must be requested within two weeks of the last day of school each year if your student will no longer be enrolled in VAISD. The check will be mailed to the address listed below
Name (Who check will be made payable to)
Address

Mailing Address

Street Address Line 2

City, State and ZipState / Province

Postal / Zip Code
Transfer any remaining funds to the following lunch account.
Student's Name
Student ID
For further assistance or questions, please contact the Food Service Director, Brooke Pylant.
Parent email
example@example.com
Should be Empty: