3 to 4 y.o.
MEAL PLAN SUBSCRIPTION KIS 2017-2018

FIRST NAME DIETARY REQUIREMENTS
LAST NAME
FATHER'S FIRST NAME
MOTHER'S FIRST NAME
HOME PHONE
EMERGENCY PHONE Excursion lunchbox yes:     no:
E-MAIL PARENTS DATE
CLASS/TEACHERS FULL NAME I accept the conditions
(SIGNATURE)