Free & Reduced-Price Meal Application – St John the Baptist Catholic Church

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FREE & REDUCED-PRICE MEAL APPLICATION 2025 - 2026 School Year

Please note, this program is subject to change at any time.

Call the Parish Financial Office with any questions at 352-3011

Name *

First

Last

Email *

Step 1 - List all children who live in your household.

(infant through Grade 12)

Child’s Name 1 (First, Middle Initial, Last) *

5 Grade Income

Child 1 - Grade *

Child 1 - School Registered At (NA if not school age) *

Child’s Name 2 (First, Middle Initial, Last)

Child 2 - Grade

Child 2 - School Registered At (NA if not school age)

Child’s Name 3 (First, Middle Initial, Last)

Child 3 - Grade

Child 3 - School Registered At (NA if not school age)

Child’s Name 4 (First, Middle Initial, Last)

Child 4 - Grade

Child 4 - School Registered At (NA if not school age)

Child’s Name 5 (First, Middle Initial, Last)

Child 5 - Grade

Child 5 - School Registered At (NA if not school age)

Child’s Name 6 (First, Middle Initial, Last)

Child 6 - Grade

Child 6 - School Registered At (NA if not school age)

Step 2 - Child and Adult Income

Child Income - Income that a child (listed in Step 1) earns that is contributed to the household income. See table below for examples.

Child Income - Amount

Child Income - How Often?

Weekly
Biweekly
Monthly
Yearly

Adult Income - List all remaining members of the household that are not listed in Step 1, even if they do not earn income. Record gross income (before taxes), not net income. Record all income earned; see table below for examples.

Adult Household Member 1 (First and Last Names) *

Adult 1 - Income *

Adult 1 Income - How Often? *

Weekly
Biweekly
Monthly
Yearly

Adult Household Member 2 (First and Last Names)

Adult 2 - Income

Adult 2 Income - How Often?

Weekly
Biweekly
Monthly
Yearly

Adult Household Member 3 (First and Last Names)

Adult 3 - Income

Adult 3 Income - How Often?

Weekly
Biweekly
Monthly
Yearly

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Saint John The Baptist Catholic Church and School - 103 N 4th Ave Edgar, WI 54426