School Meal Program Participation Form September 22-26, 2025 Daily Meal Participation for the School Year * Would you like your child to receive a meal every day of the school year? Yes No Student Name * First Name Last Name Parent Email * Teacher Name * Ian Dodge - Casa Teacher Lisa Pearl - Casa Teacher Sabrina Raffaelli - Casa Teacher Anna Serna - Lower Elementary Teacher Jennifer Zamora - Lower Elementary Teacher Moss Templeton - Lower Elementary Teacher Rebecca Ballingall - Lower Elementary Teacher Sharayah Williams - Lower Elementary Teacher Ben Kaselonis - Upper Elementary Teacher Dr. Jennifer Kepesh - Upper Elementary Teacher Savanah Cole - Upper Elementary Teacher Emily Bennett - Art Teacher Susan Davis - Special Education Teacher Michael Floyd- Music Teacher Monica Lopez Chavez – Special Education Teacher Yvette Karriker – Adaptive Physical Education Teacher Breakfast - Monday, 9-22 * Yes No Breakfast - Tuesday, 9-23 * Yes No Breakfast - Wednesday, 9-24 * Yes No Breakfast - Thursday, 9-25 * Yes No Breakfast - Friday, 9-26 * Yes No Lunch - Monday, 9-22 * Yes No Lunch, Tuesday, 9-23 * Yes No Lunch - Wednesday, 9-24 Yes No Lunch - Thursday, 9-25 * Yes No Lunch - Friday, 9-26 * Yes No Thank you!Your order has been received.
