YOUTH CHRISTIAN SCHOOL

Home of The Swords

Lunch Order Form

Lunch Order Form (Aug. 2 - Aug. 6)

Student's Name ______________________

Please circle the day(s) that your child

MONDAY    

 

TUESDAY      

            

                

WEDNESDAY

 

 

 

THURSDAY

 

 

FRIDAY

 

 

Grade __________

 will be ordering:

Wendy's Nuggets, Tater Tots, Frosty

 

Papa John's Pizza, Salad, Treat  

     

  

Taco Bell Tacos , Chips, Chocolate pudding

 

 

Chick-Fil-A, Chips, Treat

 

 

Papa John's Pizza, Nachos/Cheese, Treat

  Teacher _______________________

 

 

$4.00          Extra ($2.00) _____

 

$4.00          Extra ($2.00) _____

   

 

$4.00          Extra ($2.00) _____

 

 

 $4.00          Extra ($3.00) _____

 

 

 $4.00          Extra ($2.00) _____

Lunch Price Includes Drink

Milk may be ordered without ordering lunch for $.50 each

Circle days to order milk:      Mon.    Tues.    Wed.    Thurs.    Fri.

___White milk       ___ Chocolate milk        ___Orange juice

Drinks from machine are $1.00 (Grades 5 -12 ONLY)

AMOUNT ENCLOSED $_________________

LUNCH ORDERS WILL NOT BE ACCEPTED AFTER THURSDAY OF EACH WEEK!

*MONEY MUST ACCOMPANY ORDER FORM*