One Month Hot Lunch Ordering Form

Hot Lunch Ordering Form

All orders must be submitted no later than Monday of the preceding week. Orders not received by this deadline will not be accepted. Same-day purchases may be permitted solely at the discretion of the café and are subject to product availability. Drinks, snacks, and side items may be purchased directly from the café. Payments for orders not picked up are non-refundable.
**NEW OPTION** FOR AN EXTRA $2 YOU CAN "MAKE IT A MEAL” & YOUR CHILD CAN PICK THE OPTION FOR A FRUIT SIDE AND A JUICE BOX
Parent Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
PLEASE MAKE SURE TO FILL IN NAMES OF STUDENTS WHO ARE ORDERING EACH DAY (FIELD BELOW, NEAR PAYMENT INFORMATION)

My Products*

Corn Dog- Mon 1/51 oven baked corn dog

$4.00 Quantity

Corn Dog- Tues 1/61 oven baked corn dog

$4.00 Quantity

Pizza- Wed 1/72 small slices Costco pizza. Please include "cheese" or "pepperoni" next to child's name

$6.00 Quantity

Pizza- Thur 1/82 small slices Costco pizza. Please include "cheese" or "pepperoni" next to child's name

$6.00 Quantity

Bean & Cheese Burrito- Mon 1/12 Product Image

Bean & Cheese Burrito- Mon 1/12 1 oven baked organic bean & cheese burrito with small side of tortilla chips. Optional sides of sour cream and hot sauce available

$5.00 Quantity

Bean & Cheese Burrito- Tues 1/13 Product Image

Bean & Cheese Burrito- Tues 1/131 oven baked organic bean & cheese burrito with small side of tortilla chips. Optional sides of sour cream and hot sauce available

$5.00 Quantity

BBQ Chicken Sandwich- Wed 1/14 Product Image

BBQ Chicken Sandwich- Wed 1/14Slow cooker shredded chicken with bbq sauce served over a bun.

$6.00 Quantity

BBQ Chicken Sandwich- Thur 1/15 Product Image

BBQ Chicken Sandwich- Thur 1/15Slow cooker shredded chicken with bbq sauce served over a bun.

$6.00 Quantity

Pasta & Meatballs- Mon 1/19 Product Image

Pasta & Meatballs- Mon 1/19Organic butter noodles served with beef meatballs in marinara sauce. There is an option for butter noodles only for $1.00 less.

$5.00 Quantity

Pasta & Meatballs- Tues 1/20 Product Image

Pasta & Meatballs- Tues 1/20Organic butter noodles served with beef meatballs in marinara sauce. There is an option for butter noodles only for $1.00 less.

$5.00 Quantity

Chicken Nuggets- Wed 1/21Oven baked chicken nuggets (approx 5 pieces)

$4.00 Quantity

Chicken Nuggets- Thur 1/22 Product Image

Chicken Nuggets- Thur 1/22Oven baked chicken nuggets (approx 5 pieces)

$4.00 Quantity

Baked Mac N Cheese- Mon 2/2 Product Image

Baked Mac N Cheese- Mon 2/2Bowl of oven baked Mac N Cheese

$5.00 Quantity

Baked Mac N Cheese- Tues 2/3 Product Image

Baked Mac N Cheese- Tues 2/3Bowl of oven baked Mac N Cheese

$5.00 Quantity

Pizza- Wed 2/42 small slices Costco pizza. Please include "cheese" or "pepperoni" next to child's name

$6.00 Quantity

Pizza- Thur 2/52 small slices Costco pizza. Please include "cheese" or "pepperoni" next to child's name

$6.00 Quantity

Chicken Sandwich- Mon 2/9Oven baked breaded chicken patty on a soft bun with optional lettuce and condiments

$6.00 Quantity

Chicken Sandwich- Tues 2/10 Product Image

Chicken Sandwich- Tues 2/10Oven baked breaded chicken patty on a soft bun with optional lettuce and condiments

$6.00 Quantity

Bean & Cheese Burrito- Wed 2/11 Product Image

Bean & Cheese Burrito- Wed 2/111 oven baked organic bean & cheese burrito with small side of tortilla chips. Optional sides of sour cream and hot sauce available

$5.00 Quantity

Bean & Cheese Burrito- Thur 2/12 Product Image

Bean & Cheese Burrito- Thur 2/121 oven baked organic bean & cheese burrito with small side of tortilla chips. Optional sides of sour cream and hot sauce available

$5.00 Quantity

Chicken Nuggets- Mon 2/23Oven baked chicken nuggets (approx 5 pieces)

$4.00 Quantity

Chicken Nuggets- Tues 2/24 Product Image

Chicken Nuggets- Tues 2/24Oven baked chicken nuggets (approx 5 pieces)

$4.00 Quantity

Pasta & Meatballs- Wed 2/25 Product Image

Pasta & Meatballs- Wed 2/25Organic butter noodles served with beef meatballs in marinara sauce. There is an option for butter noodles only for $1.00 less.

$5.00 Quantity

Pasta & Meatballs- Thur 2/26 Product Image

Pasta & Meatballs- Thur 2/26Organic butter noodles served with beef meatballs in marinara sauce. There is an option for butter noodles only for $1.00 less.

$5.00 Quantity

Total

$0.00

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Name of child ordering Corn Dog- Mon 1/5
Name of child ordering Corn Dog- Tues 1/6
Name of child ordering Pizza- Wed 1/7
Name of child ordering Pizza- Thur 1/8
Name of child ordering Bean & Cheese Burrito- Mon 1/12
Name of child ordering Bean & Cheese Burrito- Tues 1/13
Name of child ordering BBQ Chicken Sandwich- Wed 1/14
Name of child ordering BBQ Chicken Sandwich- Thur 1/15
Name of child ordering Pasta + Meatballs- Mon 1/19
Name of child ordering Pasta + Meatballs- Tues 1/20
Name of child ordering Chicken Nuggets- Wed 1/21
Name of child ordering Chicken Nuggets- Thur 1/22
Name of child ordering Baked Mac N Cheese- Mon 2/2
Name of child ordering Baked Mac N Cheese- Tues 2/3
Name of child ordering Pizza- Wed 2/4
Name of child ordering Pizza- Thur 2/5
Name of child ordering Chicken Sandwich- Mon 2/9
Name of child ordering Chicken Sandwich- Tues 2/10
Name of child ordering Bean & Cheese Burrito- Wed 2/11
Name of child ordering Bean & Cheese Burrito- Thur 2/12
Name of child ordering Chicken Nuggets- Mon 2/23
Name of child ordering Chicken Nuggets- Tues 2/24
Name of child ordering Pasta & Meatballs- Wed 2/25
Name of child ordering Pasta & Meatballs- Thur 2/26
Should be Empty:

Hot Lunch Ordering Form

**NEW OPTION** FOR AN EXTRA $2 YOU CAN "MAKE IT A MEAL” & YOUR CHILD CAN PICK THE OPTION FOR A FRUIT SIDE AND A JUICE BOX

NEW OPTION FOR AN EXTRA $2 YOU CAN "MAKE IT A MEAL” & YOUR CHILD CAN PICK THE OPTION FOR A FRUIT SIDE AND A JUICE BOX