Pizza Hot Lunch Quarter 4

*Please Read Thoroughly*

Ordering for Quarter 4

Pizza includes: Choice of Pepperoni or Cheese pizza, a vegetable, and a sweet treat.

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.

Hot Lunch Pizza Days:

Thursday, March 26
Thursday, April 23

**Total Cost for 2 Pizza days in the Quarter 4 is $18 per student, Gluten Free Pizza is $30 per student.

*Please note: Gluten-Free is Cheese only.*

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 Regular or Gluten Free*

Cheese or Pepperoni*

Student Name 2

First NameLast Name

Student 2 Grade

Student 2 Regular or Gluten Free

Cheese or Pepperoni

Student Name 3

First NameLast Name

Student 3 Grade

Student 3 Regular or Gluten Free

Cheese or Pepperoni

Student Name 4

First NameLast Name

Student 4 Grade

Student 4 Regular or Gluten Free

Cheese or Pepperoni

Parents Name*

First NameLast Name

Email*

example@example.com

Choose which pizza option you would like below:*

Regular Pizza

$18.00 Quantity

GLUTEN-FREE Pizza

$30.00 Quantity

Enter coupon

Total

$0.00

Credit Card