Pack-Out & Sick Meal Request

Individual pack-out meal requests are for students that cannot visit dining locations because of tight academic and/or work schedules.

Group pack-out meal requests are for a group of student that would like to take food to-go. Groups will also need to complete a Service Plan before the pack-out request is considered.

Sick meal requests are for when students are ill and cannot visit any of the dining locations.

Purpose:*
- Individual Pack-Out
- Group Pack-Out
- Sick Meals
Name/Contact*
First Last
Student ID Number*
Campus Email Address*
Enter Email Confirm Email
Phone*
Group Name/Hall
Start Date*
Date Format: MM slash DD slash YYYY
End Date*
Date Format: MM slash DD slash YYYY
Notes
Please give a description of the purpose for this pack-out/sick request.
Payment
Payment*
- Classic Regular Meal
- All-Access Swipe
- Bonus Meal
- Titan Dollars

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Pack-Out & Sick Meal Request

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