Ralston Birthday Smart Treats
Please select a snack from the following options at least one week prior to delivery date. Please send a check to school for total amount made out to Harlem Nutrition Services.
Student Name *
Your answer
Teacher Name *
Your answer
How many snacks are needed? *
Please reach out to the teacher if you are unsure.
Your answer
Birth date *
Your answer
Delivery Date *
MM
/
DD
/
YYYY
Please select one of the snack options from below.
Cookies
Reduced fat, whole grain rich, 1 oz. cookie $.35 each
Cupcakes
Reduced fat, whole grain cupcake. $.75 each
Cereal Bar
Whole grain, low sugar cereal bar $.75 each
Zee Zees Applesauce Cups
Gluten Free $.60 each
Pudding Cups
Gluten Free, No artificial sweeteners, low sugar $.75 each
Otis Spunkmeyer Muffins
Whole grain rich $.75 each
Mott's Fruit Snacks
Gluten Free, No artificial colors or flavors $.75 each
Total Cost *
In the box below, you can figure out the total cost by using this formula: (# needed X cost of item = total cost)
Your answer
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