Sick Meal Request

If you are ill with symptoms unrelated to COVID-19, and are unable to make it to the dining hall to pick up your meal, fill out this form to have a friend pick up it up for you. A meal swipe will be deducted from your weekly meal allowance by the host when your friend comes to pick up your meal. Please make sure to fill this form out for each meal you are requesting to have picked up by a friend. Please submit at least one hour before breakfast begins and no later than 5:00pm for same day pick up.
Date - must be mm/dd/yyyy format * Required
MM slash DD slash YYYY
Name of Student * Required
Student ID Number of Sick Student * Required
Name of Student Picking Up Meal * Required
Meal Period * Required
Phone
This field is for validation purposes and should be left unchanged.