TCS Domino's Pizza Lunch Order (April)
This lunch order form is for DOMINO'S PIZZA to be served by the slice only on THURSDAYS for the days of April 4, 11, 18 and 25. Please complete ONE FORM PER CHILD. The cost is $2 per slice per lunch day and you will be billed through FACTS based on your order. Example: 2 slices of cheese pizza for one child would cost $16 for the month (2 slices X $2 each X 4 lunch days = $16 total). No sides or drinks are served with Pizza. No weekly orders will be accommodated and no refunds will be issued for absences or field trip days. This form will close on Sunday, March 31 at 11:59pm. NO LATE ORDERS WILL BE ACCEPTED. A confirmation email of your order will be sent upon submission.
Email address *
Parent Last Name, First Name *
Your answer
Parent Phone Number *
Your answer
I have the authority to place this order and I understand that I will be billed through FACTS and I agree to pay for all lunch charges according to this order. *
Student Last Name, First Name *
Your answer
Student Grade Level *
Weekly Pizza Order (select number of slices of you would like to order of each pizza type)
Cheese slices ($2ea)
Pepperoni slices ($2ea)
Gluten Free Weekly Pizza Order
Gluten Free Personal Cheese Pizza ($10ea)
Gluten Free Personal Pepperoni Pizza ($10ea)
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of The Connection School of Houston. Report Abuse - Terms of Service