Milk Ordering- Check Payment

If you would like to purchase milk with a check or cash payment, fill out the form below and bring payment to the front office as soon as possible. Payment can be left with Ms. Winters or Mrs. Kiyonaga.

CASH or CHECK Milk Orders- Fill out and submit one form for each child. To submit another form after the first submission, refresh your browser to see the form again.
This form is NOT for CREDIT CARD payments.

* Indicates required field

Child's Name (first & last) *

Child's Grade *

Parent Name (first & last) *

Parent Email *

Milk at Lunch $54 *

Milk at Snack $54- For students in PreK & K ONLY *

Milk at After School Care $54 *

Submit My CASH/CHECK Order

Milk Ordering - Check/Cash Payment

CASH or CHECK Milk Orders- Fill out and submit one form for each child. To submit another form after the first submission, refresh your browser to see the form again.This form is NOT for CREDIT CARD payments.

CASH or CHECK Milk Orders- Fill out and submit one form for each child. To submit another form after the first submission, refresh your browser to see the form again.
This form is NOT for CREDIT CARD payments.