Lunch Account

In the space provided enter the student's 5 digit lunch account number.

Enter the student's first name as it appears on the school registration. No nicknames please.

Enter the student's last name as it appears on the school registration.

Name of one parent/guardian student is living with.

Select attending school from the drop down box.

Select from the drop down box grade student is attending.

Select from the drop down box the month you are submitting payment.

Select from the drop down box the number of breakfasts for the month you selected.

Select from the drop down box the number of lunch for the month you selected.

Please enter the amount being submitted for payment.

Subtotal Amount
Service Fee
Payment Amount