Pasco County Schools Curbside Intent to Participate

Please note, this form is simply to provide an estimate number of meals to prepare and does not guarantee a meal. Meals are served on a first come, first serve basis.

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Pasco County Schools will be offering curbside meal pick up to children 18 years and under that are NOT already receiving meals while attending on-site summer programs.

LOCATION: Meals will be served drive-thru style every Tuesday. Pickup Times will be 11:00 AM to 11:30 AM at each location. Please see school sites below.

-Lacoochee Elementary School
-Watergrass Elementary School
-Connerton Elementary School
-San Antonio Elementary School

MENU: The Menu can be found online at:
Curbside Menu

Note: menu is subject to change based on availability.

Thank you for taking the time to fill out this form so we can better serve you!
Parent/Guardian Name Parent/Guardian Name First Last
Parent/Guardian Email
Parent Phone Parent Phone - ### - ### ####
Location
Total Number of Children Participating
Maximum of 3 digits allowed. Currently Entered: 0 digits.
Food Safety

Food Safety If my child has a food allergy, I understand that I am fully responsible and will ensure they do not consume foods that will cause them to be sick. Meals need to be consumed or refrigerated immediately upon pickup. All nutritional information, as well as cooking instructions, can be found HERE.
Meal Pickup Date Meal Pickup Date / MM / DD YYYY
Meal Pickup Date
USDA is an equal opportunity provider.

Pasco County Schools Curbside Intent to Participate

Pasco County Schools Curbside Intent to Participate

MENU: The Menu can be found online at: Curbside Menu Note: menu is subject to change based on availability. Thank you for taking the time to fill out this form so we can better serve you!

USDA is an equal opportunity provider.

MENU: The Menu can be found online at:
Curbside Menu

Note: menu is subject to change based on availability.

Thank you for taking the time to fill out this form so we can better serve you!