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Jan - June Chick-fil-A Day Order Form
Please indicate your chicken/seltzer orders for each week from
January through June
.
We are
not
offering monthly or weekly orders but you may contact us if you need to make a change during this period.
If you have multiple children on the EC Wyckoff campus
please complete a separate form for each child
.
NOTE:
Chick-fil-A
Day is only made available due to our parent volunteers!
We hope you will also
volunteer
and help with one of our many opportunities available. Thank you in advance for your support!
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* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Student homeroom teacher
*
Choose
3 - Ms. Baitzel
3 - Mrs. Dykstra
3 - Mrs. Summers
4 - Mrs. Araya
4 - Mrs. Augustine
4 - Miss Willemsen
5 - Mrs. Dimetry
5 - Ms. Roa
5 - Mrs. Sippel
6 - Mrs. Dyksen
6 - Mr. Henderson
6 - Mr. Ottens
7 - Mrs. Breur
7 - Mrs. Kuipers
7 - Mrs. Petersen
8 - Mr. Allen
8 - Mrs. Botbyl
8 - Miss Bradley
Please make your chicken selection
Chicken Sandwich ($6/week)
Spicy Chicken Sandwich ($6/week)
Nuggets ($6/week)
Grilled Chicken Nuggets ($7/week)
Market Salad with Grilled Chicken ($10/week)
Macaroni & Cheese ($5/week)
Fruit Cup ($5/week)
1/2 - NOT AVAILABLE
1/9 - NOT AVAILABLE
1/16
1/23
1/30
2/6
2/13
2/20
2/27
3/5
3/12
3/19
3/26
4/9
4/16
4/23
4/30
5/7
5/14
5/21
5/28
6/4
6/11
Chicken Sandwich ($6/week)
Spicy Chicken Sandwich ($6/week)
Nuggets ($6/week)
Grilled Chicken Nuggets ($7/week)
Market Salad with Grilled Chicken ($10/week)
Macaroni & Cheese ($5/week)
Fruit Cup ($5/week)
1/2 - NOT AVAILABLE
1/9 - NOT AVAILABLE
1/16
1/23
1/30
2/6
2/13
2/20
2/27
3/5
3/12
3/19
3/26
4/9
4/16
4/23
4/30
5/7
5/14
5/21
5/28
6/4
6/11
Please make your drink selection
Watermelon Seltzer ($1/week)
Black Cherry Seltzer ($1/week)
Strawberry Seltzer ($1/week)
Lemon/Lime Seltzer ($1/week)
1/2 - NOT AVAILABLE
1/9 - NOT AVAILABLE
1/16
1/23
1/30
2/6
2/13
2/20
2/27
3/5
3/12
3/19
3/26
4/9
4/16
4/23
4/30
5/7
5/14
5/21
5/28
6/4
6/11
Watermelon Seltzer ($1/week)
Black Cherry Seltzer ($1/week)
Strawberry Seltzer ($1/week)
Lemon/Lime Seltzer ($1/week)
1/2 - NOT AVAILABLE
1/9 - NOT AVAILABLE
1/16
1/23
1/30
2/6
2/13
2/20
2/27
3/5
3/12
3/19
3/26
4/9
4/16
4/23
4/30
5/7
5/14
5/21
5/28
6/4
6/11
Please enter your total cost. (tip: x23 if you selected all weeks)
*
Your answer
Your name
*
Your answer
Payment Method (please select one)
*
If you choose check/cash simply select that option. If you wish to pay with PayPal, please select that option and follow the link to the PayPal checkout site when prompted.
When you checkout, please consider checking the box to add the PayPal fees
.
NOTE: Although a form must be completed for each child, payments may be combined into a single check or PayPal payment per family.
Please make your full payment by Friday, Jan 5.
However, we also understand there may be budgetary factors for families so to request breaking up your payments: select "Other" and then note your request such as "monthly" then make your payment for that month.
Kindly remember to keep track and make your ongoing payments so we don't have to follow-up.
Thank you!
PayPal or debit/credit card
Check (ECMS PTO)/Cash
Other:
A copy of your responses will be emailed to the address you provided.
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