January/February 2022 Hot Lunch Form
Fill out one form for each student.
Price for each meal is $3.50 for the first item and $.50 for an extra serving.

January
Friday 1/7 - Breakfast - pancakes, eggs, bacon OR sausage, fruit, dessert
Wednesday 1/12 - Spaghetti bake, bread, salad, fruit, dessert
Friday 1/14 - Chicken Rice A Roni casserole, vegetable, fruit, dessert
Wednesday 1/19 - Corn Dog, vegetable, fruit, dessert
Friday 1/21 - Sloppy Joes, potato chips & dip, fruit, dessert
Wednesday 1/26 - Tacos, rice, fruit, dessert
Friday 1/28 - Chicken nuggets, buttered noodles, vegetable, fruit, dessert

February
Wednesday 2/2 - Hot ham croissants, vegetable, fruit, dessert
Friday 2/4 - Meatball bake, vegetable, fruit, dessert
Wednesday 2/9 - Homemade Hamburger Helper, vegetable, fruit, dessert
Friday 2/11 - Special Person's Day - TBD (see email for more information)
Wednesday 2/16 - Chicken Pot Pie, roll, fruit, dessert
Friday 2/18 - Cousin's Sub
Wednesday 2/23 - Chicken spaghetti, salad, fruit, dessert
Friday 2/25 - Pizza rolls, vegetable, fruit, dessert
   
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First Name *
Last Name *
Email Address *
Grade Level *
Required
Order *
Select 1 answer per row!
0
1
1 + Extras
Pancake/Eggs
Spaghetti Bake
Chicken Rice-a-roni
Corn Dog
Sloppy Joes
Tacos
Chicken Nuggets
Ham/Cheese Croisant
Meatball Bake
Hamburger Helper
Special Persons Day
Chicken Pot Pie
Cousins Sub
Chicken Spaghetti
Pizza Rolls
** If you ordered Breakfast (1/7) please choose Bacon or Sausage. *
** If you ordered a Cousin's Sub (Fri., 2/18) we will  be using the same orders.  If your child would like to change their order or did not order Cousin's before - contact the school office please.
Total Cost (Enter as number without $ symbol) *
Please add up your total.  (Each 1 = $3.50; 1 + Extras = $4.00; Subs = $4.50)
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