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Please fill out the form below NO LATER than 6:00am (if possible) the morning your child has a meal scheduled for delivery if your child will be absent. In the event of an absence, the missed meal(s) will be credited to your account.
Your Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Your E-mail Address (used on the account)
*
School
*
Jemicy
Concordia
MDIS
CMMS
Legacy
CMMS-Baltimore
Taylor
CMMS-Ellicott City
Jemicy Grade Level
*
Jemicy Lower/Middle
Jemicy Upper
Concordia Grade Level
*
Concordia Middle
Concordia Upper
MDIS Grade Level
*
MDIS 1-5
MDIS 6-10
Childs Name Who Will be Absent
*
First Name
Last Name
1st Date of Absence
*
-
Month
-
Day
Year
Date Picker Icon
2nd Date of Absence
-
Month
-
Day
Year
Date Picker Icon
3rd Date of Absence
-
Month
-
Day
Year
Date Picker Icon
4th Date of Absence
-
Month
-
Day
Year
Date Picker Icon
5th Date of Absence
-
Month
-
Day
Year
Date Picker Icon
Note
Submit
Should be Empty: