Student Nutrition Refund/Transfer Request

"*" indicates required fields

RAPID CITY AREA SCHOOL DISTRICT 51-4

851 West Street , Rapid City, SD 57701

Student Nutrition Refund/Transfer Request

Parent or Guardian's First and Last Name:*

*Parent or Guardian First Name *Parent or Guardian Last Name

Phone Number*

Email Address*

Student's First and Last Name:*

*Student's First Name *Student's Last Name

Student's Birthdate*

School:*

Select One

Refund

Transfer

If you moved out of the Rapid City Area and need a refund: provide address, city, state, zip. A refund will be mailed to you in approximately 2 weeks.