Gluten Free Student Meal Order Form
Please use this form to pre-order gluten free meals for your child for each meal/day they will be buying from the school cafeteria.
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Gluten Free Weekly Menu 

Monday: Nacho Pack - Tortilla Chips, Chicken, Cheese, Salsa, Corn 
Tuesday: Garden Salad with Grilled Chicken & GF Roll 
Wednesday: GF Pasta with Red Sauce, Chicken and Veggies
Thursday: GF Chicken & Cheese Sandwich with Smile Fries 
Friday: GF Pizza with Side Garden Salad 
Also available daily for lunch at PES: Gluten Free Pancakes, Waffles or Gluten Free Grilled Cheese Sandwich 
All meals come with fresh fruit, vegetables, and milk choice! 

*If your student would like one of these options substituted please add under Additional Comments* 
Students First and Last Name *
Student's Grade Level *
Student's School *
Date of Meal *
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Which Meals (Choose all that apply) *
Required
Additional Comments or Other Allergies: 
Parent's Email Address *
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