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Meal Plan Enrollment
Meal Plan Enrollment
This form requires Javascript to be enabled for submission and authorization.
*
Required
Parent 1 Name
*
required
First Name
Last Name
Parent 1 Email Address
*
required
Parent 2 Name
First Name
Last Name
Parent 2 Email Address
Please select:
*
required
Please 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
1
2
3
4
5
Child 1 Name
*
required
First Name
Last Name
Child 1 Grade Level
*
required
K-4
5-6
7-8
9-12
Does the child have dietary restrictions?
*
required
If so, please list them. If none, please list "none."
K-4 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,350.00)
Annual Plan - Split Over Two Semesters ($1,350.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
5-6 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
7-8 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
I would only like to enroll in a Fling breakfast plan.
Fling
*
required
Hot Breakfast Annual Plan (includes one hot item, fruit, and beverage) ($936.00)
Continental Breakfast Annual Plan (includes one bakery item, fruit, and beverage) ($806.00)
I do not wish to enroll in a Fling plan.
Would you like to auto-renew the block plan?
*
required
Yes
No
9-12 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
Child 2 Name
*
required
First Name
Last Name
Child 2 Grade Level
*
required
K-4
5-6
7-8
9-12
Does the child have dietary restrictions?
*
required
If so, please list them. If none, please list "none."
K-4 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,350.00)
Annual Plan - Split Over Two Semesters ($1,350.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
5-6 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
7-8 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
I would only like to enroll in a Fling breakfast plan.
Fling
*
required
Hot Breakfast Annual Plan (includes one hot item, fruit, and beverage) ($936.00)
Continental Breakfast Annual Plan (includes one bakery item, fruit, and beverage) ($806.00)
I do not wish to enroll in a Fling plan.
Would you like to auto-renew the block plan?
*
required
Yes
No
9-12 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
Child 3 Name
*
required
First Name
Last Name
Child 3 Grade Level
*
required
K-4
5-6
7-8
9-12
Does the child have dietary restrictions?
*
required
If so, please list them. If none, please list "none."
K-4 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,350.00)
Annual Plan - Split Over Two Semesters ($1,350.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
5-6 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
7-8 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
I would only like to enroll in a Fling breakfast plan.
Fling
*
required
Hot Breakfast Annual Plan (includes one hot item, fruit, and beverage) ($936.00)
Continental Breakfast Annual Plan (includes one bakery item, fruit, and beverage) ($806.00)
I do not wish to enroll in a Fling plan.
Would you like to auto-renew the block plan?
*
required
Yes
No
9-12 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
Child 4 Name
*
required
First Name
Last Name
Child 4 Grade Level
*
required
K-4
5-6
7-8
9-12
Does the child have dietary restrictions?
*
required
If so, please list them. If none, please list "none."
K-4 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,350.00)
Annual Plan - Split Over Two Semesters ($1,350.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
5-6 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
7-8 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
I would only like to enroll in a Fling breakfast plan.
Fling
*
required
Hot Breakfast Annual Plan (includes one hot item, fruit, and beverage) ($936.00)
Continental Breakfast Annual Plan (includes one bakery item, fruit, and beverage) ($806.00)
I do not wish to enroll in a Fling plan.
Would you like to auto-renew the block plan?
*
required
Yes
No
9-12 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
Child 5 Name
*
required
First Name
Last Name
Child 5 Grade Level
*
required
K-4
5-6
7-8
9-12
Does the child have dietary restrictions?
*
required
If so, please list them. If none, please list "none."
K-4 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,350.00)
Annual Plan - Split Over Two Semesters ($1,350.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
5-6 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
7-8 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
I would only like to enroll in a Fling breakfast plan.
Fling
*
required
Hot Breakfast Annual Plan (includes one hot item, fruit, and beverage) ($936.00)
Continental Breakfast Annual Plan (includes one bakery item, fruit, and beverage) ($806.00)
I do not wish to enroll in a Fling plan.
Would you like to auto-renew the block plan?
*
required
Yes
No
9-12 Options
*
required
Annual Plan - Paid in Full by October 1 ($1,550.00)
Annual Plan - Split Over Two Semesters ($1,550.00)
Block Plan (25 meals) ($300.00)
Would you like to auto-renew the block plan?
*
required
Yes
No
I would like to learn more about pre-ordering meal plan items due to dietary restrictions.
*
required
Please select up to 1 choice
Yes
No
Please select up to 1 choice
Once this form is submitted, a message will be sent to Jack Achenbach, FLIK's onsite nutritionist at LHP. He will be in contact with all families about the new pre-ordering system later this summer. In the meantime, feel free to email him with specific questions at
fliknutrition@lhps.org
.
Payment Information
Please select a payment type
*
required
Student Billing
By selecting "Student Billing" and submitting this form, I hereby acknowledge that this order will be billed to the student account(s).
Submit
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