Sample Bagged Lunch Request Form

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Sample bagged lunch request form
Your school’s logo and address
here
Field Trip Meal Request
Today’s date:
__________________________________________
Day and Date of Trip: _________________________________________
Destination of Trip:
__________________________________________
Teacher: ________________________ Supervisor: __ ________________
Class: _________________________ # of Students: ________________
Student Eligibility: #Free________ #Reduced_________ #Full________
Type of Lunch: (Please check one)
______ Please hold meals until we return from the trip. We will return by _______ p.m.
______ Please prepare non-perishable trip lunches. (e.g. peanut butter and jelly sandwiches canned
/box juice)
______
Please prepare a bag lunch that requires transporter an ice packs with a menu developed by
the School Food Service Manager. I understand that meals must be kept in transporters with
ice packs until service and cannot be removed prior to service.*
Approved____________________________
Date_________________
NOTE: All requests for off-site service need to be approved by the Principal
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