Pizza Mondays Order Form
September 9th, 2019 – April 20th, 2020

One Slice of Papa John’s Pizza for $1.00

Deadline to submit form and payment is Friday, September 6th

*Please complete one for each student

*This courtesy service is provided to AFA parents of students in Kindergarten – 8th Grade.

*Only cheese pizza is offered.
-Pizza order does not include a drink or snack. Parents must send these items separately.

*Only payments through cash/check/FACTS are accepted for Pizza Monday.
-Make checks payable to Al Fatih Academy (write pizza and your child’s name on memo line)
-Payment for the full year must be submitted with this form. Families may only prepay for the
entire year of Mondays (30 weeks). Payment is non-refundable.

*Please note absences, lunch changes, and school cancellations will not result in a refund.
-Uneaten pizza will not be stored.

*Pizza will be provided on days that fall after the following scheduled teacher workdays:
(Wednesday, Nov 6th; Tuesday, Jan 21st; and Tuesday, Feb 18th).
Email address *
Family Dash # *
Your answer
Student Name *
Your answer
Homeroom *
Select # of slices per week *
Payment Type *
A copy of your responses will be emailed to the address you provided.
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