2024-2025 5th/6th Grade Hot Lunch Survey

**current prices used for the 2023-2024 school year** We anticipate 2024-2025 prices to be the same or increase within $.25-$.50. Please use this form to indicate if your child will be purchasing any of the below options. All questions must be completed. Items are limit 2 (we sometimes offer the purchase of more if we have an excess the day of) Please fill out ONE FOR EACH incoming 5th and/or 6th grader you have. With the addition of the 5th grade at the middle school and having to manually input all of this data, we are asking that this be completed BY MAY 30, 2024. PLEASE SEND ANY QUESTIONS OR CONCERNS TO KIM RACEY - kracey10@gmail.com
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Email *
STUDENT FULL NAME *
GRADE ENTERING 2024/2025 SCHOOL YEAR *
Required
GLUTEN FREE (only used to determine if there is a need to provide a gluten free pizza option) *

JETS PIZZA- (large square piece) $2.50 each
*

DJ's PIZZA- (regular size slice) $2.50 each
*

PIZZA RANCH- (large slice) $2.50 each
*

MR BURGER- $4.50 (3x a year) hamburger with option for cheese or no cheese
*

CHICK-FIL-A-$4.50 each (3x a year) plain chicken sandwich with option for pickle or no pickle
*
Comments or Questions 
A copy of your responses will be emailed to the address you provided.
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