Meal Plan Registration and Change Request Form

Meal Plan Registration and Change Request Form

Rocky Mountain College requires that all students living in Widenhouse Hall or Anderson Hall to have either a Carte Blanche Meal Plan or a 10-Meal Plan. Students living in Rimview Hall, Jorgenson Hall, or off-campus are welcome to purchase a meal plan; however, it is not required. Students can decrease meal plan selections up to the 5TH DAY OF CLASSES, and make increases at any time. Meal plan changes will go into effect 1 business day after submission of form.
Full Name (no nicknames)*

First NameLast Name
Cell Phone Number*

Area CodePhone Number
E-mail*
What is your Bear Card ID Number? (This number is found on your student ID)*
Please indicate the year (ex 2024) you would like new meal plan to go into effect:*
Please indicate the semester you would like meal plan to go into effect? *

Fall (August-November)Spring (January - April)
Current Housing?*

AndersonWidenhouseRimviewJorgensonOff-Campus
Meal Plan Change Request*

I would like to increase my meal plan level to the REQUESTED meal plan selected belowI would like to decrease my meal plan level to the REQUESTED meal plan selected below - DECREASES PAST THE 5TH DAY OF CLASSES WILL BE DENIEDI would like to add an additional meal plan or dining dollars to my accountOther
Current Meal Plan?*
Requested Meal Plan?*
Dining Dollar Amount to be Added (if none list $0)*
Increments of $25.00
Do you have any required dietary restrictions you would like the dining hall managers to be aware of?*

Gluten FreeVeganVegetarianLactose FreeNoneOther
By checking the box below, you are agreeing that you understand the Rocky Mountain College and Sodexo requirements (found at https://www.rocky.edu/campus-life/housing-dining/food-services) and verifying that the information given in this application is true and accurate. You also understand that the dining halls will be closed during the winter break. You hereby accept the terms of this contract and an issued meal plan. You agree to all stipulations in effect during the term of this contract and understand failure to observe these stipulations may result in fines, termination of contract, and forfeiture of deposit and any paid fees.*

Yes
Signature*

Clear
Should be Empty: