LUNCH ORDER

 

Tuesday, _________– Monday, __________

 

Child’s Name______________________________Grade_____

 

DIRECTIONS:   In the lunch column, insert the price for the days you want lunch; if you are not ordering anything, LEAVE IT BLANK.  Be sure to indicate the number of slices of pizza you wish to order.

           

Write the abbreviation for each drink wanted for snack, lunch or extended care in the drink columns:  if not ordering anything, please LEAVE IT BLANK.

 

Abbreviation Chart:   Chocolate Milk=C   White Milk=2%   Strawberry=S

                                               Orange=O           Fruit Punch=FP       Apple Cherry= AC

 

Please add DOWN the columns, then add the subtotals together and enter

total amount due in space provided.

 

 

Day of the week

 

Lunch Price

Milk/Juice

($.25 per carton)

Snack   Lunch  Ex. Care               

     

Tuesday            $3.00

 

 

 

 

 

Wednesday       $3.00

 

                $

 

 

 

 

Thursday          $3.00

 

                  $

 

 

 

 

Friday(Pizza .85˘ per slice)

 

__ slices = $

 

 

 

 

 Monday           $3.00

  

                  $

 

 

 

 

Subtotals

 

                  $

 

 

 

 

TOTAL (Lunch + Drink)  ________________

 

 

(Money sent with older sibling, _____________, Grade _______)

 

 

Grand Total for all children ______________

Fill this out on oldest child’s form