Chick-Fil-A Sign up Quarter 4

*Please Read Thoroughly*

Ordering for Quarter 4

Chick-Fil-A includes sandwich OR nuggets, chips, and cookie.

Drinks will not be provided. Please bring your own water and snack. You will be billed at the end of this form. You must pay for the meal(s) in advance through this form.

We can not accept "day of" orders, even with cash.

Chick-Fil-A Hot Lunch Days

Thursday, March 12
Thursday, April 16
Thursday, May 14

**Total Cost for 3 Chick-Fil-A days in the Quarter 4 is $38 per student.

Note- fill in the names of all your students and then under "quantity" choose how many students you are purchasing lunches for.

Students Name 1*

First NameLast Name

Student 1 Grade*

Student 1 Chicken Type*

Student Name 2

First NameLast Name

Student 2 Grade

Student 2 Chicken Type

Student Name 3

First NameLast Name

Student 3 Grade

Student 3 Chicken Type

Student Name 4

First NameLast Name

Student 4 Grade

Student 4 Chicken Type

Parents Name*

First NameLast Name

Email*

example@example.com

Total Number of Chick Fil A Hot Lunches:*

Chick-Fil-A Lunch

$38.00 Quantity

Enter coupon

Total

$0.00

Credit Card