Reminder:
• All requests for eligibility will be kept confidential.
• You may be required to present proof of eligibility at any time during the school year
• You may re-apply during the course of the year, should your financial circumstances change

For further information please to refer to the MBA instruction sheet.

How much will the Hot Lunch Program cost? The annual charge per child is listed below. Larger portions, salad and fresh fruit are served daily to the Middle and High School students.

Annual Hot Lunch Meal Charge for Elementary School Student (grades 1-5):

Reduced: $27.40

Full: $605

Annual Hot Lunch Meal Charge for Middle School Student (grades 6-8):

Reduced: $27.80

Full: $709.50

Annual Hot Lunch Meal Charge for High School Student (grades 9-12): $726

Student Information

First Name *

Last Name *

Grade *

Division *

Elementary School

Division *

Middle School

Division *

High School

Annual Hot Lunch Meal Charge for Elementary School Student (grades 1-5):

Reduced: $27.40

Full: $605

Annual Hot Lunch Meal Charge for Middle School Student (grades 6-8):

Reduced: $27.80

Full: $709.50

Annual Hot Lunch Meal Charge for High School Student (grades 9-12): $726

Elementary Cost based on Income Eligibility *

Free

Reduced

Full Pay

Middle School Cost based on Income Eligibility *

Free

Reduced

Full Pay

High School Cost *

Full Pay

Elementary Reduced Payment Selection: *

Pay $27.40 now in full by credit card (Student 1)

Pay $27.40 by FACTS (Student 1)

Deduct $27.40 from Paycheck (Student 1) - TA Staff Only

Elementary Full Payment Selection: *

Pay $605 now in full by credit card (Student 1)

Pay $605 by FACTS (Student 1)

Deduct $605 from Paycheck (Student 1) - TA Staff Only

Middle School Reduced Payment Selection: *

Pay $27.80 now in full by credit card (Student 1)

Pay $27.80 by FACTS (Student 1)

Deduct $27.80 from Paycheck (Student 1) - TA Staff Only

Middle School Full Payment Selection: *

Pay $709.50 now in full by credit card (Student 1)

Pay $709.50 by FACTS (Student 1)

Deduct $709.50 from Paycheck (Student 1) - TA Staff Only

High School Full Payment Selection: *

Pay $726 now in full by credit card (Student 1)

Pay $726 by FACTS (Student 1)

Deduct $726 from Paycheck (Student 1) - TA Staff Only

Additional Student

Yes

First Name *

Last Name *

Grade *

Division *

Elementary School

Division *

Middle School

Division *

High School

Annual Hot Lunch Meal Charge for Elementary School Student (grades 1-5):

Reduced: $27.40

Full: $605

Annual Hot Lunch Meal Charge for Middle School Student (grades 6-8):

Reduced: $27.80

Full: $709.50

Annual Hot Lunch Meal Charge for High School Student (grades 9-12): $726

Elementary Cost based on Income Eligibility *

Free

Reduced

Full Pay

Elementary Reduced Payment Selection: *

Pay $27.40 now in full by credit card (Student 2)

Pay $27.40 by FACTS (Student 2)

Deduct $27.40 from Paycheck (Student 2) - TA Staff Only

Elementary Full Payment Selection: *

Pay $605 now in full by credit card (Student 2)

Pay $605 by FACTS (Student 2)

Deduct $605 from Paycheck (Student 2) - TA Staff Only

Middle School Cost based on Income Eligibility *

Free

Reduced

Full Pay

Middle School Reduced Payment Selection: *

Pay $27.80 now in full by credit card (Student 2)

Pay $27.80 by FACTS (Student 2)

Deduct $27.80 from Paycheck (Student 2) - TA Staff Only

Middle School Full Payment Selection: *

Pay $709.50 now in full by credit card (Student 2)

Pay $709.50 by FACTS (Student 2)

Deduct $709.50 from Paycheck (Student 2) - TA Staff Only

High School Cost *

Full Pay

High School Full Payment Selection: *

Pay $726 now in full by credit card (Student 2)

Pay $726 by FACTS (Student 2)

Deduct $726 from Paycheck (Student 2) - TA Staff Only

Additional Student

Yes

First Name *

Last Name *

Grade *

Division *

Elementary School

Division *

Middle School

Division *

High School

Annual Hot Lunch Meal Charge for Elementary School Student (grades 1-5):

Reduced: $27.40

Full: $605

Elementary Cost based on Income Eligibility *

Free

Reduced

Full Pay

Elementary Reduced Payment Selection: *

Pay $27.40 now in full by credit card (Student 3)

Pay $27.40 by FACTS (Student 3)

Deduct $27.40 from Paycheck (Student 3) - TA Staff Only

Elementary Full Payment Selection: *

Pay $605 now in full by credit card (Student 3)

Pay $605 by FACTS (Student 3)

Deduct $605 from Paycheck (Student 3) - TA Staff Only

Annual Hot Lunch Meal Charge for Middle School Student (grades 6-8):

Reduced: $27.40

Full: $709.50

Middle School Cost based on Income Eligibility *

Free

Reduced

Full Pay

Middle School Reduced Payment Selection: *

Pay $27.80 now in full by credit card (Student 3)

Pay $27.80 by FACTS (Student 3)

Deduct $27.80 from Paycheck (Student 3) - TA Staff Only

Middle School Full Payment Selection: *

Pay $709.50 now in full by credit card (Student 3)

Pay $709.50 by FACTS (Student 3)

Deduct $709.50 from Paycheck (Student 3) - TA Staff Only

Annual Hot Lunch Meal Charge for High School Student (grades 9-12): $726

High School Cost *

Full Pay

High School Full Payment Selection: *

Pay $726 now in full by credit card (Student 3)

Pay $726 by FACTS (Student 3)

Deduct $726 from Paycheck (Student 3) - TA Staff Only

Current Total:

$0.00