High School T-Shirt and Food Order Form for Honor's Orchestra Event (Jan. 24-25, 2019)
We are thrilled that you will be a member of the 2018-2019 Richland Two HS District Orchestra event! Please read the following information carefully and fill out this form with accurate information, so that orders can be correctly placed. Thank you so much!

EVERY participating student and teacher must fill out this form, regardless of whether or not you are ordering food. Checks/Money Orders need to be payable to "RVHS Orchestra." Combine all totals into ONE check/money order, made payable to "RVHS Orchestra." Due to your orchestra teacher by MONDAY, DECEMBER 17, 2018!

Here are the payment amount options:
$10 (Participation Fee: Includes t-shirt); OR
$17 (Participation Fee and Monday, Feb. 5 Tokyo Grill); OR
$15 (Participation Fee and Thursday, Feb. 8 Cici's Pizza Dinner); OR
$17 (Participation Fee and Friday, Feb. 9 Chick-fil-A Boxed Lunch); OR
$22 (Participation Fee and Monday, Thursday Cici's Pizza Dinner); OR
$24 (Participation Fee and Monday Dinner & Friday Lunch); OR
$29 (T-shirt and 3 meals: Monday & Thursday dinner and Friday lunch).

Give your ONE check to your teacher after filling out this form. All orders must be placed by MONDAY, DECEMBER 17, 2018!

Email address *
Student's First and Last Name *
As you would like listed in the program
Your answer
Orchestra Director's Name (Alphabetical by last name) *
School Name *
What size t-shirt would you like to order? Adult sizes only-no youth sizes! *
Food Allergies *
Food Allergies: If you answered YES above to having food allergies, please list them below so we are aware of possible problems.
Your answer
Tuesday Dinner: Tokyo Grill = $7 (Teriyaki Chicken, rice, and veggies.)
Thursday Dinner: Cici's Pizza = $5 (2 slices, cinnamon rolls and a drink) *
Friday Lunch: Chick-fil-A Boxed Lunch = $7 (Chick-fil-A original chicken sandwich, chips, a cookie and a drink) *
Total Amount Due by Monday, December 17, 2018!
Please add up your totals and make ONE check/money order payable to "RVHS Orchestra." Turn in payment to your orchestra director by Monday, January 8, after filling out and submitting this form!

$10 (Participation Fee: Includes t-shirt); OR
$17 (Participation Fee and Monday, Feb. 5 Tokyo Grill); OR
$15 (Participation Fee and Thursday, Feb. 8 Cici's Pizza Dinner); OR
$17 (Participation Fee and Friday, Feb. 9 Chick-fil-A Boxed Lunch); OR
$22 (Participation Fee and Monday, Thursday Cici's Pizza Dinner); OR
$22 (Participation Fee and Thursday, Friday); OR
$24 (Participation Fee and Monday Dinner & Friday Lunch); OR
$29 (T-shirt and 3 meals: Monday & Thursday dinner and Friday lunch).
My Total Amount Due by Monday, December 17, 2018___________. *
Submit
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