Meal Plan Prepayment Form

Please complete the below form, print it out and submit it with your prepayment for the RCS Meal Plan. Please complete one form for each child and return with a one check for each child made out to the RCS School Lunch Fund. Thank you.

A discount of 25 cents weekly is available to those who prepay for their meals.

Your Name ________________________________________________________________________________

Student's Name __________________________________________________________________________

Student's School (Middle School, High School, etc)____________________________________________

Prepayment amount _______________________________________________________________________

Check number ____________________________________________________________________________

Your contact phone number ________________________________________________________________

Thank you for your time. If you have any questions, contact the food services department at 756-5200, ext. 2037.