4th/5th RSE Daily Lunch Count - 2nd Q
Please list the total number of students in your class choosing each option.

Teacher meals should be listed separately from student meals.  Teachers will be charged for their meals.  If only a teacher beverage choice is selected without a teacher meal requested, the Classroom Teacher listed will be charged for the beverage.

Please submit your answers by 9:00 AM.  Thank you!
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Classroom Teacher Name: *
Grade Level *
STUDENT: Option 1
STUDENT: Option 2
STUDENT:  Option 3 (when applicable)
STUDENT: Chocolate Milk
STUDENT: White Milk
STUDENT: Water
TEACHER: Names & Lunch Options
TEACHER:  Beverage
Clear selection
Comments (student allergen, etc.)
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