Family Name: ______________________________

MILK PROGRAM 2018-2019

DUE: WEDNESDAY AUGUST 22, 2018 (even if not participating)

Time to place your milk order for the 2018-2019 school year

    ~        This will be the only time to sign up for the milk program.

    ~        Milk will be served every day at lunch, Monday through Friday.

    ~        Both chocolate and 2% white milk are available.

    ~        Ordering for milk is done in advance, so if you wish to receive milk you must order by  

             Wednesday, August 22, 2018.

    ~        This milk session runs from Monday, August 20, 2018 to Friday, May 24, 2019.

    ~        Annual Cost:

            ~ One carton of milk each day is $60.00

        ~ Two cartons each day would be $120.00.

~        If your child signs up for milk and misses a lunch period, you will not receive a refund or credit.    

~   Please remind your child if they are to receive milk, how many cartons, and which type of milk.

     The milk program runs on an honor system.

* If you will NOT be participating in the program, please check the box at the bottom of the

form and return to the school office.

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We would like to participate in the Milk Program - August 20, 2018 - May 24, 2019

Child's Name:_________________________________________________ Class:___________________

Cartons per day: 1     2           Milk preference: White     Chocolate             Cost:___________

Child's Name:_________________________________________________ Class:___________________

Cartons per day: 1     2           Milk preference: White     Chocolate             Cost:___________

Child's Name:_________________________________________________ Class:___________________

Cartons per day: 1     2           Milk preference: White     Chocolate             Cost:___________

Child's Name:_________________________________________________ Class:___________________

Cartons per day: 1     2           Milk preference: White     Chocolate             Cost:___________

                                       TOTAL COST: ____________

Make checks payable to: St. Raphael Catholic School

Please write a separate check for this program.

*  ▢  We DO NOT wish to participate in the Milk Program at this time.