Family Name *
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Child #1
Your answer
Child #1 Grade
Days Child #1
Select days for which you would like your child to have a single lunch or lunch with Extra Dog. Single Lunch $3.00: 1 hot dog with bun, chips, fruit, and a drink. Extra hot dog: +$.50.
$3.00 Lunch
$3.50 Lunch with Extra Dog
None
September 6
September 13
September 20
September 27
October 4
October 11
October 18
October 25
November 1
November 8
November 15
November 29
December 6
December 13
December 20
Or All with or without Child #1
Select if you would like all lunches with or without extra dog
Child #2
Your answer
Child #2 Grade
Days Child #2
Select days for which you would like your child to have a single lunch or lunch with Extra Dog. Single Lunch $3.00: 1 hot dog with bun, chips, fruit, and a drink. Extra hot dog: +$.50.
$3.00 Lunch
$3.50 Lunch with Extra Dog
None
September 6
September 13
September 20
September 27
October 4
October 11
October 18
October 25
November 1
November 8
November 15
November 29
December 6
December 13
December 20
Or All with or without Child #2
Select if you would like all lunches with or without extra dog
Child #3
Your answer
Child #3 Grade
Days Child #3
Select days for which you would like your child to have a single lunch or lunch with Extra Dog. Single Lunch $3.00: 1 hot dog with bun, chips, fruit, and a drink. Extra hot dog: +$.50.
$3.00 Lunch
$3.50 Lunch with Extra Dog
None
September 6
September 13
September 20
September 27
October 4
October 11
October 18
October 25
November 1
November 8
November 15
November 29
December 6
December 13
December 20
Or All with or without Child #3
Select if you would like all lunches with or without extra dog
Child #4
Your answer
Child #4 Grade
Days Child #4
Select days for which you would like your child to have a single lunch or lunch with Extra Dog. Single Lunch $3.00: 1 hot dog with bun, chips, fruit, and a drink. Extra hot dog: +$.50.
$3.00 Lunch
$3.50 Lunch with Extra Dog
None
September 6
September 13
September 20
September 27
October 4
October 11
October 18
October 25
November 1
November 8
November 15
November 29
December 6
December 13
December 20
Or All with or without Child #4
Select if you would like all lunches with or without extra dog
Child #5
Your answer
Child #5 Grade
Days Child #5
Select days for which you would like your child to have a single lunch or lunch with Extra Dog. Single Lunch $3.00: 1 hot dog with bun, chips, fruit, and a drink. Extra hot dog: +$.50.
$3.00 Lunch
$3.50 Lunch with Extra Dog
None
September 6
September 13
September 20
September 27
October 4
October 11
October 18
October 25
November 1
November 8
November 15
November 29
December 6
December 13
December 20
Or All with or without Child #5
Select if you would like all lunches with or without extra dog
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