Lunch Form

 

PLEASE NOTE:  LUNCH MENU FOR****NOVEMBER 1 to DECEMBER 1

 

*****THIS LUNCH MENU INCLUDES THURSDAY, DECEMBER 1
THE REST OF DECEMBER IS ON SEPARATE ORDER FORM TO FOLLOW*****

 

 

Child’s Name: __________________________________________           Grade:___________ 

 

ALL ORDERS ARE DUE **MONDAY, OCTOBER 24th

PLEASE… One order form per child, however, you may pay with one check for all your family

 

        Total Amount Enclosed:      $___________

 

 

3 MONDAYS

Qty. Daily          Item                           

_____       Pizza                                  $ 1.50 x  3 =  _______

_____       Juice or Water                         .75 x  3 =  _______

_____       Ice Cream                              .75 x  3=   _______                                                                                                                                                                                                                                                                                                                                     Monday Total=__________

 

 

3 TUESDAYS

Qty. Daily          Item                           

_____       Meatball Sub 6”                    $ 2.50  x  3 =  _______

_____       Turkey Sub 6”                       $ 2.50  x  3 =  _______                                

_____       Juice or Water                            .75  x  3 =  _______

_____       Apple/Banana                             .50  x  3 =   _______

 

Tuesday Total=  __________

 

 

4 WEDNESDAYS

Qty. Daily          Item                                                                          

_____       Cheese Sub 6”                  $ 2.50 x  4 = ______

_____       Tuna Sub 6”                      $ 2.50 x  4 =______                 

_____       Juice or Water                        .75 x  4 =______                 

_____       Homemade Cookie                .75 x  4 =______  

                                                                       

                                                                                                             Wednesday Total= __________

 

 

4 THURSDAYS           

Qty. Daily         Item                                                                

_____       BLT Sub                             $  2.50 x  4= _______ 

_____       Chicken Breast Sub            $ 2.50 x  4 = _______

_____       Juice or Water                          .75 x   4 = _______

_____       Snacks                                     .75 x   4 = _______

 

Thursday Total= ___________

 

 

                                                                                

1 FRIDAY

Qty. Daily          Item                           

_____        Pizza                                $ 1.50 x  1  =_______

_____        Juice or Water                       .75 x  1  =_______

_____        Ice Cream                             .75 x  1  =_______

                                                                                   

                                                                                                 Friday Total =_____________

 

 

 

***REMEMBER-ALL ORDERS ARE DUE                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             **MONDAY, OCTOBER 24th