Meal Plan Enrollment

Required

Parent 1 Namerequired

First Name

Last Name

Parent 1 Email Addressrequired

Parent 2 Name

First Name

Last Name

Parent 2 Email Address

Please select:requiredPlease select up to 1 choice

I am an LHP employee.

I am not an LHP employee.

Please select up to 1 choice

How many children would you like to enroll?required

Child 1 Namerequired

First Name

Last Name

Child 1 Grade Levelrequired

Does the child have dietary restrictions?required

If so, please list them. If none, please list "none."

K-4 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,400.00)

Annual Plan - Split Over Two Semesters ($1,400.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

5-6 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

7-8 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

I would only like to enroll in a Fling breakfast plan.

Flingrequired

Hot Breakfast Annual Plan (includes one hot item, fruit, pastries, and beverage) ($1,200.00)

I do not wish to enroll in a Fling plan.

9-12 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

Child 2 Namerequired

First Name

Last Name

Child 2 Grade Levelrequired

Does the child have dietary restrictions?required

If so, please list them. If none, please list "none."

K-4 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,400.00)

Annual Plan - Split Over Two Semesters ($1,400.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

5-6 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

7-8 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

I would only like to enroll in a Fling breakfast plan.

Flingrequired

Hot Breakfast Annual Plan (includes one hot item, fruit, pastries, and beverage) ($1,200.00)

I do not wish to enroll in a Fling plan.

9-12 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

Child 3 Namerequired

First Name

Last Name

Child 3 Grade Levelrequired

Does the child have dietary restrictions?required

If so, please list them. If none, please list "none."

K-4 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,400.00)

Annual Plan - Split Over Two Semesters ($1,400.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

5-6 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

7-8 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

I would only like to enroll in a Fling breakfast plan.

Flingrequired

Hot Breakfast Annual Plan (includes one hot item, fruit, pastries, and beverage) ($1,200.00)

I do not wish to enroll in a Fling plan.

9-12 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

Child 4 Namerequired

First Name

Last Name

Child 4 Grade Levelrequired

Does the child have dietary restrictions?required

If so, please list them. If none, please list "none."

K-4 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,400.00)

Annual Plan - Split Over Two Semesters ($1,400.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

5-6 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

7-8 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

I would only like to enroll in a Fling breakfast plan.

Flingrequired

Hot Breakfast Annual Plan (includes one hot item, fruit, pastries, and beverage) ($1,200.00)

I do not wish to enroll in a Fling plan.

9-12 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

Child 5 Namerequired

First Name

Last Name

Child 5 Grade Levelrequired

Does the child have dietary restrictions?required

If so, please list them. If none, please list "none."

K-4 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,400.00)

Annual Plan - Split Over Two Semesters ($1,400.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

5-6 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

7-8 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

I would only like to enroll in a Fling breakfast plan.

Flingrequired

Hot Breakfast Annual Plan (includes one hot item, fruit, and beverage) ($1,200.00)

I do not wish to enroll in a Fling plan.

9-12 Optionsrequired

Annual Plan - Paid in Full by October 1 ($1,650.00)

Annual Plan - Split Over Two Semesters ($1,650.00)

Block Plan (25 meals) *Funds will automatically replenish for another block meal plan when a 26th meal is purchased. ($325.00)

I would like to learn more about pre-ordering meal plan items due to dietary restrictions.requiredPlease select up to 1 choice

Yes

Please select up to 1 choice

Once this form is submitted, a message will be sent to June Flowers, FLIK's onsite nutritionist at LHP. She will be in contact with all families about the pre-ordering system later this summer. In the meantime, feel free to email her with specific questions at fliknutrition@lhps.org.

Payment Information

Please complete captcha below to proceed to payment selection.

Please select a payment typerequired

Student Billing

By selecting "Student Billing" and submitting this form, I hereby acknowledge that this order will be billed to the student account(s).

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