Family Name *
Your answer
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
$4.00 Lunch with Extra Dog
None
Sep 4
Sep 11
Sep 18
Sep 25
Oct 2
Oct 9
Oct 16
Oct 23
Oct 30
Nov 6
Nov 13
Nov 20
Dec 4
Dec 11
Dec 18
Jan 8
Jan 15
Jan 22
Jan 29
Feb 5
Feb 12
Feb 19
Feb 26
Mar 4
Mar 11
Mar 18
Mar 25
Apr 1
Apr 8
Apr 22
May 6
May 13
May 20
May 27
Jun 3
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
$4.00 Lunch with Extra Dog
None
Sep 4
Sep 11
Sep 18
Sep 25
Oct 2
Oct 9
Oct 16
Oct 23
Oct 30
Nov 6
Nov 13
Nov 20
Dec 4
Dec 11
Dec 18
Jan 8
Jan 15
Jan 22
Jan 29
Feb 5
Feb 12
Feb 19
Feb 26
Mar 4
Mar 11
Mar 18
Mar 25
Apr 1
Apr 8
Apr 22
May 6
May 13
May 20
May 27
Jun 3
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
$4.00 Lunch with Extra Dog
None
Sep 4
Sep 11
Sep 18
Sep 25
Oct 2
Oct 9
Oct 16
Oct 23
Oct 30
Nov 6
Nov 13
Nov 20
Dec 4
Dec 11
Dec 18
Jan 8
Jan 15
Jan 22
Jan 29
Feb 5
Feb 12
Feb 19
Feb 26
Mar 4
Mar 11
Mar 18
Mar 25
Apr 1
Apr 8
Apr 22
May 6
May 13
May 20
May 27
Jun 3
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
$4.00 Lunch with Extra Dog
None
Sep 4
Sep 11
Sep 18
Sep 25
Oct 2
Oct 9
Oct 16
Oct 23
Oct 30
Nov 6
Nov 13
Nov 20
Dec 4
Dec 11
Dec 18
Jan 8
Jan 15
Jan 22
Jan 29
Feb 5
Feb 12
Feb 19
Feb 26
Mar 4
Mar 11
Mar 18
Mar 25
Apr 1
Apr 8
Apr 22
May 6
May 13
May 20
May 27
Jun 3