The Source Order Form

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- Order by Tuesday at 8:00am for the week.
- You will receive a text with an order number and the day/times for pick up after completing the form.
- All items will be boxed/bagged and labeled with the order number.
- Pick up your box/bags just inside the front door of NFHS between 2:00 and 8:00pm on Thursday.
- Boxes/bags will be on the shelf. Cold items will be in the Coca-Cola fridge next to the shelf.

*REMEMBER* to get your bag(s) of cold items!
- Thursday is pick up day.

What is your name? *

What is your student's name? *

Contact phone number? (a text will be sent when your order is ready) *

Please check off what meal items you would like to receive/order. *All items are subject to availability

Pasta and pasta sauce

Rice (if available)

Canned meat pasta/meals

Canned fruit

Canned veggies

Macaroni and Cheese

Soup

Please check off what breakfast items you would like to receive/order. *All items are subject to availability

Oatmeal/grits

Peanut Butter

Jelly

Breakfast bars or granola bars

Cereal

Would you like to receive fresh fruit (mainly apples and carrots - sometimes pears, oranges, and bananas) *All items are subject to availability

Yes

Clear selection

Would you like to receive dairy items (mainly cartons of milk, sometimes yogurt) *All items are subject to availability

Yes

Clear selection

Please check off what toiletries you would like to receive/order. *All items are subject to availability

Shampoo

Conditioner

Toothpaste

Tooth brush

Deodorant-Male

Deodorant-Female

soap/body wash

feminine hygiene pads

feminine hygiene tampons

Is there any other way we can support your family?

Submit

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