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ALA CARTE Order Form
Select number of items desired in each category. If needing to order more than two items in any category, please complete an additional order form. Orders must be placed before 10:30a.m.
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Date
*
MM
/
DD
/
YYYY
Student Name
*
Your answer
Student's Grade
*
Choose
Kindergarten
1st/2nd Grade
3rd/4th Grade
5th/6th Grade
7th/8th Grade
Main Items 1
Choose
Corn Dog $2.25
Taquitos 4/$3.00
Pizza Rolls 6/$3.00
Pizza Rolls 10/$4.00
Pizza - Pepperoni $4.00
Pizza -Cheese $4.00
Cup O'Noodles $2.50
Bean & Cheese Burrito $2.50
Chimichanga $3.00
Mac N Cheese Cup $3.00
Smucker's PB&J $2.25
Main Items 2
Choose
Corn Dog $2.25
Taquitos 4/$3.00
Pizza Rolls 6/$3.00
Pizza Rolls 10/$4.00
Pizza - Pepperoni $4.00
Pizza -Cheese $4.00
Cup O'Noodles $2.50
Bean & Cheese Burrito $2.50
Chimichanga $3.00
Mac N Cheese Cup $3.00
Smucker's PB&J $2.25
Drinks 1
Choose
Capri Sun $1.50
Apple Juice $1.50
Bottled Water $1.50
Milk - White $2.00
Milk - Chocolate $2.00
Gatorade $2.00
Arizona Tea with Lemon $2.00
Drinks 2
Choose
Capri Sun $1.50
Apple Juice $1.50
Bottled Water $1.50
Milk - White $2.00
Milk - Chocolate $2.00
Gatorade $2.00
Arizona Tea with Lemon $2.00
Sides 1
Choose
Apple Sauce $1.75
Fruit Cup $1.50
Chips $1.75
Cheez-Its $1.75
Chex Mix $1.75
Fruit Snacks $1.50
Popcorn Bag $1.75
Takis $1.75
Go Gurt $1.50
String Cheese $1.50
Gold Fish $1.75
Pretzels $1.75
Sides 2
Choose
Apple Sauce $1.75
Fruit Cup $1.50
Chips $1.75
Cheez-Its $1.75
Chex Mix $1.75
Fruit Snacks $1.50
Popcorn Bag $1.75
Takis $1.75
Go Gurt $1.50
String Cheese $1.50
Gold Fish $1.75
Pretzels $1.75
Desserts 1
Choose
Chocolate Chip Cookies $1.50
Oreos $1.50
M&M Ice Cream Cookie $2.50
Rice Krispy Treats $1.50
Gushers $1.50
Snickers Ice Cream Bars $2.50
Minute Maid Frozen Lemonade $2.00
Desserts 2
Choose
Chocolate Chip Cookies $1.50
Oreos $1.50
M&M Ice Cream Cookie $2.50
Rice Krispy Treats $1.50
Gushers $1.50
Snickers Ice Cream Bars $2.50
Minute Maid Frozen Lemonade $2.00
Candy 1
Choose
Peanut M&Ms $2.00
Reese's PB Cups $2.00
Skittles $2.00
Snickers $2.00
Starburst $2.00
Gummy Bears $2.00
Candy 2
Choose
Peanut M&Ms $2.00
Reese's PB Cups $2.00
Skittles $2.00
Snickers $2.00
Starburst $2.00
Gummy Bears $2.00
Condiments (optional)
Ketsup
Mustard
Ranch
Allergies
Your answer
Questions or Comments
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