Jan.22nd-25th Fresh Start Lunch Order Form
The cost of each lunch is $4.75 and includes the option of 1% White milk, Fat Free Chocolate milk, and the vendor’s choice of a Fruit and/or Vegetable daily. Please be sure to 1) Fill out a form for EACH student ordering lunch and 2) Please PRE-PAY ONLINE -or- fill out a Hot Lunch paper payment form, either cash or check, place in the hot lunch drawer in the front office. 3) Orders MUST BE RECEIVED BY 4pm 3 DAYS PRIOR TO THE DAY LUNCH IS TO BE SERVED - SORRY, NO EXCEPTIONS
Student's LAST Name
Student's FIRST Name
Student's Grade Level
HOT- Beef & Cheese Chimichanga w/Corn
HOT- Spanish Chicken Adobo w/Brown Rice Pilaf & Corn
COLD- Chicken Breast Pita Sandwich w/Cilantro Bean Salad
VEGETARIAN- Garden Burger w/Corn
SALAD- Greek Chicken Salad w/Wheat Dinner Roll
NO MEAL ORDERED
HOT- Pepperoni Pizza w/Carrot Sticks
HOT- Pesto Chicken Penne Pasta w/Steamed Carrots & Broccoli
COLD- Roasted Pepper Chicken Tortilla Wrap w/Carrot Sticks
VEGETARIAN- Cheese Pizza w/Carrots Sticks
SALAD- Santa Fe Chicken Salad w/Wheat Dinner Roll
NO MEAL ORDERED
Additional slice of pizza for $1.25?
Yes, two slices please.
No, only one slice please.
No, we didn't order pizza.
Please check your email after you submit this form and make sure you receive a confirmation email. If not, re-submit and email Ruth Shramek, Food Service Supervisor at MATES, to have her verify your order was received.
Don't Forget to Click Submit!
A copy of your responses will be emailed to the address you provided.
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