Cafeteria - Summer Feeding Program Order Form
This form is for non-Blessed Sacrament children and families to order a school breakfast or lunch.

Orders should be submitted by 10:00 AM the day you plan to pick-up to ensure that lunch will be available when you arrive. If the cafeteria runs out of your selected option(s), a substitute lunch may be offered.

The pick-up time is between 12:00 and 12:30 PM each day. There are two spots in our parking lot reserved for this purpose. Please park in those spots between 12:00 and 12:30 and your lunch will be brought to you. See image below for accessing the pick-up spots safely. Access the pick-up location from Idaho Ave. Please do not drive anywhere on the property other than the designated area.
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Lunch Pick-up Map
What is the first and last name of the individual picking up the lunch(es)? *
What is a good contact phone number for the person picking up the lunch(es)? *
What is the color, make, & model of the car that will be picking up the lunch(es)? *
Breakfast & Lunch Choices
The available lunch options that you may choose from are:

1) Turkey & Cheese Sandwich
2) Ham & Cheese Sandwich
3) PB&J Sandwich
4) Cinnamon pop tart kit
5) Strawberry pop tart kit
6) Chocolate rice Krispie treat kit
7) Rice Krispies treat kit
8) Strawberry Nutri Grain Bar kit
9) Scooby Gram kit
10) Lucky charm Kit
11) Fruit loop kit
12) Cinnamon toast crunch kit
13) Crunch mania cinnamon bun kit
14) Raspberry and cream Bar Kit
15) Blueberry snack waffle kit
16) Sweet Cinnamon snack waffle kit
How many breakfasts/lunches are you ordering? *
Please list the option(s) that you would like (one option per lunch ordered): *
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