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Pleasant Grove Elementary School Lunch Order Form - DECEMBER
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Student First Name
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Student Last Name
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Grade (or Staff member)
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Kindergarten
1st
2nd
3rd
4th
5th
6th
STAFF
My student has the following FOOD ALLERGIES:
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Teacher:
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LUNCH MENU
LUNCH ORDER:
Milk Only
Salad Bar Meal
Main Course
Sandwich WITH Cheese
Sandwich NO Cheese
Thursday 12/01/22
Monday 12/05/22
Tuesday 12/06/22
Wednesday 12/07/22
Thursday 12/08/22
Monday 12/12/22
Tuesday 12/13/22
Wednesday 12/14/22
Thursday 12/15/22
Monday 12/19/22
Tuesday 12/20/22
Milk Only
Salad Bar Meal
Main Course
Sandwich WITH Cheese
Sandwich NO Cheese
Thursday 12/01/22
Monday 12/05/22
Tuesday 12/06/22
Wednesday 12/07/22
Thursday 12/08/22
Monday 12/12/22
Tuesday 12/13/22
Wednesday 12/14/22
Thursday 12/15/22
Monday 12/19/22
Tuesday 12/20/22
On
Fridays the only lunch offered is a sack lunch. You can choose between a hoagie sandwich (with or without cheese) or a peanut butter and jelly sandwich.
FRIDAY:
Sandwich WITH Cheese
Sandwich NO Cheese
Peanut Butter & Jelly
Friday 12/09/22
Sandwich WITH Cheese
Sandwich NO Cheese
Peanut Butter & Jelly
Friday 12/09/22
Average monthly cost (based on 20 days)
Regular Lunch: $59.00 Reduced Lunch: $8.00
Milk Only: $10.00
Payments should be made in your Cafeteria Account through the Compass Parent Portal at
http://my.spectrumcharter.org
or at the school front office.
Money cannot be accepted in the classroom or in the lunch line.
A copy of your responses will be emailed to the address you provided.
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