Remote Learner Food Order Form

West Islip Union Free School District (WIUFSD)
School Meals Order Form

For Remote Learning Students

Your School Meals Order Form must be submitted by 9 a.m. for the day requested.

This School Meals Order Form is to order a "grab-and-go" meal for a district student who is assigned to remote learning on that day. Any student physically attending a district school will obtain school meals in the cafeteria while at school. Complete this School Meals Order Form only for days when your student(s) is NOT scheduled for in-person instruction at a district school. You can submit School Meals Order Forms up to a month in advance.

All School Meals Order Forms must be submitted by 9 a.m. for the day requested. Submission of a School Meals Order Form is not required but will help to ensure that your student can have the meal of his/her choice. Please note that the menu is subject to change without notice based on availability.

Meals will be available for pickup at middle schools and the high school on school days from 11 a.m. - 1 p.m. To pickup school meals, proceed to the school's main office area.

Meal Cost

Breakfast Meals: $1.50 (secondary schools)
Lunch Meals: $2.75 (secondary schools)

Call the Food Service Office at 631-930-1510 with any questions or concerns.

Parent/Guardian Name: *

Date for Meal Pickup * +

Estimated Pick-Up Time *

11 - 11:45 a.m.

11:45 a.m - 12:30 p.m.

12:30 - 1 p.m

How many WIUFSD students are in your household? *

Student 1 (First & Last Name): *

Student 1: Grade *

Pre K - 8

9 - 12

Student 2 (First & Last Name): *

Student 2: Grade *

Pre K - 8

9 - 12

Student 3 (First & Last Name): *

Student 3: Grade *

Pre K - 8

9 - 12

Student 4 (First & Last Name): *

Student 4: Grade *

Pre K - 8

9 - 12

Student 5 (First & Last Name): *

Student 5: Grade *

Pre K - 8

9 - 12

Student 6 (First & Last Name): *

Student 6: Grade *

Pre K - 8

9 - 12