[PDF]A La Carte On Account Charge Form - Rackcdn.comc8ca6e5e43a19f2300e1-04b090f30fff5ccebaaf0de9c3c9c18a.r54.cf1.rackcdn.com/A...
0 downloads
110 Views
206KB Size
A la Carte On Account Charges I parent/guardian of ____________________ (student name) give consent to purchase A la Carte items and charge them on his/her meal account. I am aware that I am responsible to pay for all A la Carte charges incurred by my student. Parent/Guardian Name: ____________________________ Student ID: ______________________________________ IDEA Campus: ____________________________________ Parent/Guardian Signature: _______________________________ Date: ____________________