ISSH June 2024 Kinder Bento Order Form
Welcome to the Monthly Lunch Program Sign Up form for June 2024

Please submit one form for each person you are ordering lunch for.

**Please note that for Grades 1 and above , students can enjoy lunch at the cafeteria from a buffet serving system. **

For Kinder and younger students we will need parents to sign up via Google Forms. If a student is older than Grade 1 but wishes to order a box meal please ask our Kitchen Manager directly.

Please submit this order form by 4pm on 5/28 (Tue)
Bento Price:
 Kindergarten = ¥600 per meal.

Please check our June menu from here: ISSH June 2024 Menu

If the student has to be absent from school for personal reasons after the bento order was made, please notify the cafeteria no later than 48 hours ahead of the absence date (earlier the better) by email at or 03-6427-7902 to cancel lunch and to avoid a lunch fee deduction. If the student gets sick and decides to be absent from the school on the day of the order, please notify the cafeteria by 7:30 am to avoid the lunch fee deduction.
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Email *
Cezars Kitchen PIN Number *
 If you do not know the Cezars Kitchen PIN number, please place 0000
Student's First Name *
Student's Last Name *
School Division *
Meal Choice for June *
No Lunch
June 3 (Mon)
June 4 (Tue)
June 5 (Wed)
June 6 (Thu)
June 7 (Fri)
June 10 (Mon)
June 11 (Tue)
June 12 (Wed)
June 13 (Thu)
Guardian Name *
Guardian Phone Number *
State food allergies if any *
Thank you for completing your order.  If you have any questions, please contact Cezars Kitchen Head office at 052-229-8571 or at
Regarding the payment, if you already have enough balance in your child’s Cezars Kitchen account, there is no need to make the additional payment. If your child's account does not have a sufficient amount, please make the payment via credit card or cash at the cafeteria.

Credit Card Payment:
Please visit the following page to complete the credit card payment
*Please note that you will need to register PAMS in order to make payment via PAMS
*You will need your cafeteria PIN code to register PAMS.

A copy of your responses will be emailed to the address you provided.
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