Chrysalis Meal Order Form- December 2022
Meal order forms are due by 12:00 pm on Wednesday November 16, 2022. The meal count for each day determines the number of meals delivered to our school.  We only receive meals for the students who have ordered them. 

School breakfast and lunches are free to all enrolled students. 

Menu is subject to change without notice. 

***Please submit a separate form for each student.***
 
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Email *
Email *
Child's First Name *
Child's Last Name *
Child's Current Grade *
December 2022 Menu Options
Please make ONE selection per meal listed below
Breakfast 
Thursday 12/01/22
 *
Breakfast Today
No Breakfast Today
Cereal Choice
Lunch 
Thursday 12/01/22
 *
Hot Lunch
No Lunch Today
Chicken & Waffles w/Syrup
Breakfast
Friday 12/02/22
 *
Breakfast Today
No Breakfast Today
Pancake Sausage on a Stick w/Syrup
Lunch
Friday 12/02/22
 *
Hot Lunch
No Hot Lunch Today
Pizza
Breakfast
Monday 12/05/22
 *
Breakfast Today
No Breakfast Today
Cereal Choice
Lunch 
Monday 12/05/22 *
Hot Lunch Today
No Hot Lunch Today
Hamburger w/Potato Wedges & Toppings Bar
Breakfast
Tuesday 12/06/22
 *
Breakfast Today
No Breakfast Today
Bagel with Cream Cheese
Lunch
Tuesday 12/06/22
 *
Hot Lunch
No Lunch Today
Chicken Taco with Toppings Bar
Breakfast
Wednesday 12/07/22
 *
Breakfast Today
No Breakfast Today
Cinnamon Roll & Smoothie
Lunch
Wednesday 12/07/22
 *
Hot Lunch
No Lunch Today
Grilled Cheese Sandwich with Soup
Breakfast
Thursday 12/08/22
 *
Breakfast Today
No Breakfast Today
Cereal Choice
Lunch
Thursday 12/08/22
 *
Hot Lunch
No Lunch Today
Orange Chicken Over Brown Rice & Steamed Veggies
Breakfast
Friday 12/09/22
 *
Breakfast Today
No Breakfast Today
French Toast with Syrup
Lunch 
Friday 12/09/22
 *
Hot Lunch
No Lunch Today
Pizza
Breakfast
Monday 12/12/22
 *
Breakfast Today
No Breakfast Today
Cereal Choice
Lunch
Monday 12/12/22
 *
Hot Lunch
No Lunch Today
Hot Dog with French Fries
Breakfast 
Tuesday 12/13/22
 *
Breakfast Today
No Breakfast
Muffin with Yogurt Choice
Lunch 
Tuesday 12/13/22
 *
Hot Lunch
No Lunch Today
Nachos with Toppings Bar
Breakfast
Wednesday 12/14/22
 *
Breakfast Today
No Breakfast
Parfait Choice
Lunch 
Wednesday 12/14/22
 *
Hot Lunch
No Lunch Today
Hot Sandwich Choice
Breakfast
Thursday 12/15/22
 *
Breakfast Today
No Breakfast Today
Cereal Choice
Lunch
Thursday 12/15/22
 *
Hot Lunch
No Lunch Today
Popcorn Chicken w/Macaroni and Cheese
Breakfast
Friday 12/16/22
 *
Breakfast Today
No Breakfast Today
Pancakes Topped w/Berries & Whipped Topping
Lunch 
Friday 12/16/22
 *
Hot Lunch
No Lunch Today
Pizza
Breakfast
Monday 12/19/22
 *
Breakfast Today
No Breakfast Today
Cereal Choice
Lunch
Monday 12/19/22
 *
Hot Lunch
No Lunch Today
Brunch for Lunch
Breakfast
Tuesday 12/20/22
 *
Breakfast Today
No Breakfast Today
Bagel with Cream Cheese
Lunch
Tuesday 12/20/22
 *
Hot Lunch
No Lunch Today
Bean and Cheese Burrito
Breakfast 
Wednesday 12/21/22
 *
Breakfast Today
No Breakfast Today
Donut & Smoothie
Lunch
Wednesday 12/21/22
 *
Hot Lunch
No Lunch Today
Grilled Cheese Sandwich w/Soup
Breakfast
Thursday 12/22/22
 *
Breakfast Today
No Breakfast Today
Cereal Choice
Lunch
Thursday 12/22/22
 *
Hot Lunch
No Lunch Today
Pizza
A copy of your responses will be emailed to the address you provided.
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