This is a budgeting tool for families showing lunch cost per month.

Retun this form to NCS Central Office to block your child from making lunch or a la carte purchases in NCS cafeterias.

This form must be completed (including a licensed medical practitioner's signature) and on file at your child's school before any menu subsitutions can be made. Once this form is returned, the food service coordinator will work with you and the school food service staff to ensure your child's dietary needs are met.