Birmingham City Schools Meals

Question Title

* Parent/Guardian Information

Parent Name

Address

Address Line 2

City/Town

State/Province

ZIP/Postal Code

Phone Number

Question Title

* 1. List the names of each Birmingham City Schools student in your household and the school he or she attends.

Student Name/School

Student Name/School

Student Name/School

Student Name/School

Student Name/School

Student Name/School

Student Name/School

Question Title

* 2. Do you plan to take advantage of the meal offerings through Birmingham City Schools during the period of remote teaching and learning?