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Hot Lunch Sign Up Form 2023-2024
Parent Last Name
*
Parent First Name
*
Parent Email Address
*
Are you Full Pay, Reduced, or Free (If reduced or free then MBA must be submitted)
*
Full Pay
Reduced
Free
Meal Benefit Application
You can download the MBA using the link below. Please fill it out and either
- Print and mail/drop off at school
- Upload it via the choose file then upload option below
- scan / take a pic and email to hotlunch@bnosyisroel.org
MBA 2023-2024 PDF Format
MBA Instructions
Please Upload your MBA. If you are not uploading your MBA, your application will not be complete until your MBA is received.
SIgn-Up Information
Child #1 Last Name
*
Child #1 First Name
*
Grade (Upcoming School Year)
*
K
1
2
3
TG
4
5
6
7
8
9
10
11
12
Elementary Hot Lunch Options/Cost
*
Full Program (4 Days) - $400
Pizza Only Tuesday - $105
Middle School Hot Lunch Options/Cost
*
Full Program (4 Days) - $450
Pizza Only Tuesday - $130
High School Hot Lunch Options/Cost
*
Full Program (4 Days) - $450
Pizza Only Tuesday - $130
Child #2 Last Name
Child #2 First Name
Grade (Upcoming School Year)
K
1
2
3
TG
4
5
6
7
8
9
10
11
12
Elementary Hot Lunch Options/Cost
*
Full Program (4 Days) - $400
Pizza Only Tuesday - $105
Middle School Hot Lunch Options/Cost
*
Full Program (4 Days) - $450
Pizza Only Tuesday - $130
High School Hot Lunch Options/Cost
*
Full Program (4 Days) - $450
Pizza Only Tuesday - $130
Child #3 Last Name
Child #3 First Name
Grade (Upcoming School Year)
K
1
2
3
TG
4
5
6
7
8
9
10
11
12
Elementary Hot Lunch Options/Cost
Full Program (4 Days) - $400
Pizza Only Tuesday - $105
Middle School Hot Lunch Options/Cost
Full Program (4 Days) - $450
Pizza Only Tuesday - $130
High School Hot Lunch Options/Cost
Full Program (4 Days) - $450
Pizza Only Tuesday - $130
Child #4 Last Name
Child #4 First Name
Grade (Upcoming School Year)
K
1
2
3
TG
4
5
6
7
8
9
10
11
12
Elementary Hot Lunch Options/Cost
Full Program (4 Days) - $400
Pizza Only Tuesday - $105
Middle School Hot Lunch Options/Cost
Full Program (4 Days) - $450
Pizza Only Tuesday - $130
High School Hot Lunch Options/Cost
Full Program (4 Days) - $450
Pizza Only Tuesday - $130
Are You Makpid on Yoshon?
*
Yes
No
Current Total:
$0.00
Calculate