Trial Sign Up Form 2024

PLEASE NOTE THAT THIS IS A PAID TRIAL FOR A FLAT RATE OF $130.65

Our trial period includes 10 meals and a daily fruit.

School*

Classroom / Grade*

Child's Full Name*

Parent's Email*

example@example.com

Parent's Full Name*

Trial Start Date*

Our trial period includes 10 meals and a daily fruit.

Which days of the week does your child need meals? Your trial will run for 10 service days.*

Does your child have any allergies or food sensitivities?*

YesNo

Does your child have any severe food allergies? This includes any food allergy that is serious enough to require the child to carry an EpiPen or similar medication*

YesNo

Our meals are prepared in a facility that processes allergens such as milk, soy, fish, eggs, and wheat. Due to the possibility of cross-contamination, they are not suitable for children with severe or anaphylactic allergies. If you have any questions about whether our service is suitable for your child, please contact us at hello@littlegreengourmets.com

Menu Choice*

RegularVegetarianBeef-FreeOther [Dairy/Egg Free, Gluten Free, Vegan] ($5 extra flat fee + tax)

Please select the special meal you would like your child to receive:*

Dairy/Egg AllergyGluten AllergyVegan

Special meals can only be accomodated for Standard Bites.

We do not use tree nuts, peanuts, sesame, pork, or shellfish in our kitchen. Please contact us if your child has a dietary need not listed above to determine if we can accommodate it.

Please list any items that your child is allergic to:*

Please note: in order for any allergen information to be accounted for in your meal plan, you must select the appropriate menu choice above, or contact us to determine if we can accommodate the request. We do not use Treenuts, Peanuts, Sesame or Shellfish in our kitchen.

How would you like your child's meal to be cut?*

Standard BitesSmall Bites

(old allergy waver - kept to preserve submission data)*

I understand and do not hold Little Green Gourmets responsible for any allergic reactions

Please note, we prepare our meals in a facility that processes allergens including milk, soy, fish, eggs and wheat. Our meals are not appropriate for children with severe or anaphylactic allergies.

I understand and do not hold Little Green Gourmets responsible for any allergic reactions*

Total

Trial Meal Plan

USDDescription

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

2025 POLICIES

Please note that our sign-up deadline is the Wednesday before service at 3 pm. We are unable to start your meal plan sooner than the start date listed on the sign-up form.

For your future reference, here is our cancellation policy:

We are unable to credit for last-minute absences or school closures (snow days, illness, etc).
We will credit a child's absence (when the school is open) given at least 14 days' notice.
If you need to cancel meals at any time during your service, please complete our Meal Cancellation form. You will receive meal credits that will be applied towards your last month of service.
We will be charging a 4% processing fee on all reimbursements.

I understand that all school closures have been accounted for and I will not be refunded for absences or other meal cancellations.

Trial Sign Up Form 2025