Free or Reduced-Price School Lunch Application Form

Free or Reduced-Price School Lunch Application Form
Apply for free or reduced-price school meals for your household. Please complete all required fields to determine your eligibility.
Parent or Guardian Full Name
First NameLast Name
Primary Contact Email
example@example.com
Primary Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Number of Children in Household
List the names and schools of all children applying for meal assistance
Does your household participate in any of the following programs?
Total Household Gross Income (Monthly, before taxes)
How many adults contribute to the household income?
Should be Empty: