Sign Up for Lunch Box Program Please Note: all fields are required unless labeled otherwise. Please check all fields for errors. Account Info First Name This field is required Last Name This field is required Email This field is required There is already an account registered with this email Username This field is required There is already an account registered with this username Password The password must meet the requirements below Your password should be at least 8 characters long and include capital letters, numbers, and/or symbols. Confirm Password The password must match Personal Info Address This field is required Address Line 2 (Optional) City This field is required State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington, D.C. This field is required Zip Code This field is required Phone Number This field is required Student Info: Your Student's First Name This field is required Your Student's Last Name This field is required Your Student's School Select your student's school Baltimore Junior AcademyCathedralForcey ChristianGateway SchoolOur Lady of Perpetual HelpSevern SchoolSt. Augustine This field is required Your Student's Teacher Please select a school first Add Another Student Billing Info This field is required This field is required This field is required This field is required This field is required Use personal address as billing address Billing Address Address This field is required Address Line 2 (Optional) City This field is required State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Washington, D.C. This field is required Zip Code This field is required Phone Number This field is required Enable balance auto-refilling If your balance drops below $10, we'll automatically charge your credit card for the amount specified below. Refill Amount This field is required and must be at least $20