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POST /form_engine/5_5w7uhMDsPAGziJzPpO6g

<form autocomplete="on" accept-charset="UTF-8" action="/form_engine/5_5w7uhMDsPAGziJzPpO6g" class="new_submission has-validation-callback" id="new_submission" method="post" enctype="multipart/form-data">
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  <div class="lgld-main">
    <div class="lgld-field-display">
      <div class="lgld-form-title">
        <h1 class="none">2023-2024 Meal Plan Form</h1>
      </div>
      <div class="lgld-form-desc"></div>
    </div>
    <input type="hidden" name="submission[origin]" value="">
    <div class="lgld-field lgld-input-section-heading full-width" id="field_3" data-bind="visible: field_3_visible">
      <div class="lgld-field-display" data-bind="visible: field_3_visible">
        <div class="lgld-section-heading-name">
          <h2 class="none">2023-2024 Meal Plan Form</h2>
        </div>
        <div class="lgld-section-heading-desc">If you would like to sign up for the Meal Plan at St. Joseph Academy for the 2023-2024 school year, please complete the form below. The meal plan includes lunch on all full school-days beginning Monday,
          August 14th thru the last full day of classes in May. The monthly cost will appear on your tuition statement each month and will vary depending on the number of school days each month. Should you wish to be removed from the Meal Plan,
          please do so by the 1st of the month by contacting slucio@sja.us or the finance office. Daily or partial month plans ARE NOT available. Lunch is $7 per day and includes a drink.</div>
      </div>
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        <label for="submission[args][field_46]"><span>Email</span>
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          <div title="required" id="" class="lgld-required"> *</div>
        </label>
        <br>
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          data-validation="email">
        <div class="lgld-field-input-note">A confirmation email will be sent to the parent/guardian email address here.</div>
      </div>
      <div class="lgld-field-display" data-bind="visible: " style="display: none;">
        <label for="field_46_verification">Verify Email</label>
        <!-- is_required: 0 display: true -->
        <div title="required" id="" class="lgld-required"> *</div>
        <br>
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          id="field_46_verification" data-validation="email_verification" email="" value="">
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      <div class="lgld-field-display" data-bind="visible: field_4_visible">
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          <legend class="none"> <label><span>Student Name</span>
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              <div title="required" id="" class="lgld-required"> *</div>
            </label>
          </legend>
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            <!-- field_5 -->
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            <div class="lgld-field-names-input lgld-name-first-name">
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                data-validation-error-msg="First Name required for Student Name">
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                data-validation-error-msg="Last Name required for Student Name">
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            <!-- field_8 -->
            <div style="clear: both;"><!-- --></div>
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          <legend class="none"><label><span>Student Grade </span>
              <!-- is_required: 0 display: true -->
              <div title="required" id="" class="lgld-required"> *</div>
            </label>
          </legend>
          <div class="lgld-field-input-note"></div>
          <select aria-required="true" name="submission[args][field_36]" data-bind="value: field_36_value" data-validation="lgld_dropdown" data-validation-invalid-option="" data-validation-error-msg="Please select an option for Student Grade ">
            <option value="">select one</option>
            <option value="7th">7th</option>
            <option value="8th">8th</option>
            <option value="9th">9th</option>
            <option value="10th">10th</option>
            <option value="11th">11th</option>
            <option value="12th">12th</option>
            <option value="Faculty/Staff">Faculty/Staff</option>
          </select>
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      </div>
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    <div class="lgld-field lgld-input-name full-width" id="field_29" data-bind="visible: field_29_visible">
      <div class="lgld-field-display" data-bind="visible: field_29_visible">
        <fieldset class="none">
          <legend class="none"> <label><span>Student 2 Name (if applicable)</span>
              <!-- is_required:  display: true -->
            </label>
          </legend>
          <div class="lgld-field-name-elements">
            <!-- field_30 -->
            <!-- field_31 -->
            <div class="lgld-field-names-input lgld-name-first-name">
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              <div class="lgld-input-sublabel"><label for="submission[args][field_31]" class="none lgld-input-sublabel">First Name</label></div>
            </div>
            <!-- field_32 -->
            <div class="lgld-field-names-input lgld-name-last-name">
              <input autocomplete="off" type="text" class="lgld-input-text" data-bind="value: field_32_value" name="submission[args][field_32]" id="submission[args][field_32]">
              <div class="lgld-input-sublabel"><label for="submission[args][field_32]" class="none lgld-input-sublabel">Last Name</label></div>
            </div>
            <!-- field_33 -->
            <div style="clear: both;"><!-- --></div>
          </div>
        </fieldset>
      </div>
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          formViewModel.field_32_value("");
          formViewModel.field_33_value("");
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    </div>
    <div class="lgld-field lgld-input-dropdown full-width" id="field_37" data-bind="visible: field_37_visible">
      <div class="lgld-field-display" data-bind="visible: field_37_visible">
        <fieldset class="none">
          <legend class="none"><label><span>Student 2 Grade (if applicable)</span>
              <!-- is_required:  display: true -->
            </label>
          </legend>
          <div class="lgld-field-input-note"></div>
          <select name="submission[args][field_37]" data-bind="value: field_37_value" data-validation-error-msg="Please select an option for Student 2 Grade (if applicable)">
            <option value="">select one</option>
            <option value="7th">7th</option>
            <option value="8th">8th</option>
            <option value="9th">9th</option>
            <option value="10th">10th</option>
            <option value="11th">11th</option>
            <option value="12th">12th</option>
          </select>
        </fieldset>
      </div>
      <script type="text/javascript">
        formViewModel.field_37_visible = true;
        formViewModel.field_37_value = ko.observable("select one");
        reset_field_37 = function() {
          formViewModel.field_37_value("select one");
        };
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    </div>
    <div class="lgld-field lgld-input-name full-width" id="field_38" data-bind="visible: field_38_visible">
      <div class="lgld-field-display" data-bind="visible: field_38_visible">
        <fieldset class="none">
          <legend class="none"> <label><span>Student 3 Name (if applicable)</span>
              <!-- is_required:  display: true -->
            </label>
          </legend>
          <div class="lgld-field-name-elements">
            <!-- field_39 -->
            <!-- field_40 -->
            <div class="lgld-field-names-input lgld-name-first-name">
              <input autocomplete="off" type="text" class="lgld-input-text" data-bind="value: field_40_value" name="submission[args][field_40]" id="submission[args][field_40]">
              <div class="lgld-input-sublabel"><label for="submission[args][field_40]" class="none lgld-input-sublabel">First Name</label></div>
            </div>
            <!-- field_41 -->
            <div class="lgld-field-names-input lgld-name-last-name">
              <input autocomplete="off" type="text" class="lgld-input-text" data-bind="value: field_41_value" name="submission[args][field_41]" id="submission[args][field_41]">
              <div class="lgld-input-sublabel"><label for="submission[args][field_41]" class="none lgld-input-sublabel">Last Name</label></div>
            </div>
            <!-- field_42 -->
            <div style="clear: both;"><!-- --></div>
          </div>
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          <legend class="none"><label><span>Student 3 Grade (if applicable)</span>
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            <option value="7th">7th</option>
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            <option value="11th">11th</option>
            <option value="12th">12th</option>
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  <div class="full-width form-action">
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  </div>
  <div data-bind="visible: submissions_available" style="margin-top: 10px; text-align: left; display: none;">
    <label class="normal">
      <span data-bind="text: submission_cap_text_rendered">Hurry, only remaining.</span>
    </label>
    <div class="clear: both;"><!-- --></div>
  </div>
</form>

Text Content

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2023-2024 MEAL PLAN FORM




2023-2024 MEAL PLAN FORM

If you would like to sign up for the Meal Plan at St. Joseph Academy for the
2023-2024 school year, please complete the form below. The meal plan includes
lunch on all full school-days beginning Monday, August 14th thru the last full
day of classes in May. The monthly cost will appear on your tuition statement
each month and will vary depending on the number of school days each month.
Should you wish to be removed from the Meal Plan, please do so by the 1st of the
month by contacting slucio@sja.us or the finance office. Daily or partial month
plans ARE NOT available. Lunch is $7 per day and includes a drink.
Email
*

A confirmation email will be sent to the parent/guardian email address here.
Verify Email
*

Student Name
*
First Name
Last Name

Student Grade
*

select one 7th 8th 9th 10th 11th 12th Faculty/Staff
Student 2 Name (if applicable)
First Name
Last Name

Student 2 Grade (if applicable)

select one 7th 8th 9th 10th 11th 12th
Student 3 Name (if applicable)
First Name
Last Name

Student 3 Grade (if applicable)

select one 7th 8th 9th 10th 11th 12th

Hurry, only remaining.