PCPS Healthy Snack Order Form
Please fill out the form and submit online or print it out and email it to wolf-tina@aramark.com or to keeley.sullivan@Poquoson.k12.va.us . To ensure your order can be accommodated, please allow a minimum of 4 days between submitting your request and the date you would like the food delivered. Please make checks payable to Poquoson Food Service and turn payment in to the associated school's cafeteria. Forms submitted online will be automatically processed.
Email address *
Name of person placing order (First Last) *
Your answer
Contact Phone Number (xxx-xxx-xxxx) *
Your answer
Today's Date *
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Event Date *
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Building *
Teacher Name *
Your answer
Classroom Number for delivery *
Your answer
Wise Owl Veggie Tray ($12.50 each) *
Indicate the number of trays for order.
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Veggie Tray ($12.50 each) *
Indicate the number of trays for order.
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Fruit Tray ($14.50 each) *
Indicate the number of trays for order.
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Total Cost *
Enter the total cost of the order
Your answer
Orders are intended for in-school consumption only.
A copy of your responses will be emailed to the address you provided.
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