Dear Parent/Guardian:

Children need healthy meals to learn. Bethlehem Lutheran School offers healthy meals every school day.

ELC - $3.30

K-8 - $3.85

Staff - $4.40

Adult Guests - $4.95

Student Guests - same as school students

Milk - .65

Your children may qualify for free or reduced-price school meals. Students in all grades that qualify for free or reduced-price meals will receive lunch at no charge or at a reduced rate.

Please complete the application and either return, as soon as possible, to the school office or mail to:

The School Lunch Program
Bethlehem Lutheran School
2100 Wadsworth Blvd.
Lakewood, CO 80214

Click the DOWNLOAD THE FORM button and print the form.

You can also find applications in the school office.

Non-discrimination Statement:
In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print,
audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027), and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

  • BY MAIL: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights; 1400 Independence Avenue, SW
    Washington, D.C. 20250-9410
  • BY FAX: (202) 690-7442

Bethlehem is an equal opportunity provider.