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St. Rose School |
| Home | News from the Principal | News from Mrs. Schmidt RN | Nurse's Wish List | Lunch Menu K-4 | Lunch Menu 5-8 | Lunch Order Form K-8 |
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Lunch Order Form K-8 |
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HOT LUNCH PROGRAM ORDER FORM GRADES K-8 March 2008 Daily cost per meal: $3.00 (includes hot or cold entrée and milk choice) Extra Entrée: $1.00 per entrée Milk Choice Only: $.40 per day Attached is the monthly menu. Please select (Ö) meal choice/ extra entrée only. If you would like milk only, please select (Ö) mark Milk Only. Indicate Choice of Milk. March 3 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 4 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 5 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 6 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 7 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 10 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 11 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 12 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 13 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 14 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 17 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 18 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 19 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 20 (K-4 ONLY) ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 24 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 25 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 26 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 27 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 28 ____Choice A ___Choice B ___Extra Entrée _____Milk Only March 31 ____Choice A ___Choice B ___Extra Entrée _____Milk Only Milk Choice Preferred: _______Chocolate ______White Total Meal Choice (Qty)_________x $3.00 Add Extra Entrée (Qty)_________x $1.00 Amount Enclosed $______________ Total Milk Choice Only(Qty) ______x.40 Amount Enclosed $_________________ NO CASH PLEASE. Make Checks Payable to Newtown PS Food Service Name of Student____________________________ Grade Level*_________(see below) Home Telephone______________________ Other Contact: (E-mail or cell telephone)__________________________ *Grade Levels are: K-1,K-2,1B,1V,2F,2J,3B,3G,4K,4R,5,6, 7, 8 |
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Last Modified: Wednesday February 27 2008
