Clayton Elementary A La Carte Snack Program All elementary students have the option to purchase snacks a la carte at the checkout line during lunch. As a parent, you have the option of setting an a la carte spending limit by day or week or to completely opt out of the program. I would NOT like my student to be able to participate in the smart snack program. I would like my student to have a spending limit for the smart snack program. Daily Spending limit: __________ Weekly spending limit: _________

Student Name: _____________________________________________________________ Student Grade/ Teacher: _____________________________________________________ Student ID#: _______________________________________________________________

Parent Signature: __________________________________________________________ Please return this form to your school’s main office only if would like to create a spending limit or opt out of the program.

For more information on a la carte smart snack items or spending limit options contact Michele McGowan at [email protected] or 314.854.6640.

#1 Mark Twain Circle Drive Clayton, MO 63105