Whataburger Sign up Quarter 4

*Please Read Thoroughly*

Ordering for Quarter 4.

Plain Whataburger with cheese, chips, and cookies.

Drinks will not be provided. Please bring your own water. 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.

Whataburger Days:

Thursday, April 9
Thursday, May 7

**Total Cost for 2 Whataburger days in Quarter 4 is $18 per student.

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

Students Name 1*

First NameLast Name

Student 1 Grade*

Student Name 2

First NameLast Name

Student 2 Grade

Student Name 3

First NameLast Name

Student 3 Grade

Student Name 4

First NameLast Name

Student 4 Grade

Parents Name*

First NameLast Name

Email*

example@example.com

Choose how many Whataburger Lunches you are ordering*

Whataburger Lunch

$18.00 Quantity

Total

$0.00

Credit Card