Sack Lunch Order
Request sack lunches a minimum of 14 days prior to your requested pick up date.
Completing this form will send your request to the Nutrition Services Secretary and the Kitchen Manager of the school you select, along with a confirmation copy to your email.  Only the students/staff listed on this form will have meals prepared for and available to pick up.

Contact Anita Shelby, Nutrition Services Secretary, at Shelbya@newberg.k12.or.us if you have any questions.
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Email *
Number of Sack Lunches
(Each Sack Lunch includes: Milk, PBJ, Juice, Vegetable, Fruit, Chips)
*
School Cafeteria to pick up your order *
Class/Teacher
(How you want this order labeled)
*
Grade/Group
Requested Pick Up Date 
(min 14 days from submission of form to facilitate kitchen ordering & receiving your product along with scheduling staffing for fulfillment)
*
MM
/
DD
/
YYYY
Pick Up Time Preference *
Allergies that affect this entire order 
(if none, type none)
*
Do you require boxes for your sack lunches?
Clear selection
Please list all students (legal names preferred) and/or student ID# to be charged and provided a sack lunch, along with any allergies which they have provided a completed Dietary Accommodation form to Nutrition Services.
Feel free to copy and paste from a list you already have!  Also list any teachers or staff that would like to pay & receive a sack lunch (money must be in their account)
*
A copy of your responses will be emailed to the address you provided.
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