Power Lunch Request
Power Lunches include a 12 oz Shake and camper’s choice of fruit and snack (Pop Chips | Pirate's Booty | Veggie Straws)
for only $6.50 (+ tax)!

Online orders require having your credit or debit card on file with BOOST. If you do not have a card on file, please contact Pinnacle Health and Fitness Member Services by coming in or calling 908.359.3600

If your child has any food allergy or dietary restrictions, please contact Member Services to place your order at 908-359-3600.

NOTE: Orders must be placed by 10am to guarantee PowerLunch is prepared in time for camper's lunch.
Sign in to Google to save your progress. Learn more
Email *
Please select the date for the order to be provided to the camper. *
MM
/
DD
/
YYYY
Which shake would you like to order? *
Each shake contains 20 grams of high quality protein. Shakes are made with either skim milk or fruit purees. For more detailed information on our shakes, please visit https://www.pinnacle-nj.com/boost-cafe .
Does your child have any allergies? If yes, please call us at 908-359-3600 to place your order. *
Please note that some of our shakes contain peanut butter, and whey protein with milk. Some of our products are manufactured in a plant with other peanut products.
Required
Authorization for payment to your credit/debit card on file at Pinnacle Health and Fitness.
If you are not a current Pinnacle Member, please stop by Member Services to provide your credit / debit card information.
Clear selection
Contact info
Your name *
Camper's name *
Phone number *
Parent/Guardian E-mail
Preferred contact method *
Required
Questions and comments
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pinnacle Health and Fitness.

Does this form look suspicious? Report