SAS Pizza Order Form
Students at Summit South may bring lunches from home, or they may place an order for pizza each week. Pizza is ordered from Guiseppe's in Littleton and from Domino's in Conifer.

If you would like to order pizza as a staff member or for your student(s), please complete the order form each week, and for each person.

Orders are due by 8:30am on your student's attendance day. Consider setting an alarm so that you don't forget to place your order(s)!

Pizza will be paid for with punch cards, which we will keep on hand at Summit South. These may have been purchased on Launch Day, and/or you may purchase new ones through through Ms. Amy or the Pizza Coordinator volunteer on any school day.

Punch cards are $15 for 10 slices of pizza -- we can accept cash or checks made out to JASH.

If you plan to purchase pizza for multiple students each week, please consider purchasing several punch cards at once so that punch deficits are not accumulated. Each punch card will be labeled with your family's name.

Please email Amy Barbour at abarbour@jeffcoschools.us with any questions!
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Email *
Student/Staff Last Name *
Student/Staff First Name *
SAS Location *
Student Grade *
Date for Pizza Order *
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Pepperoni Pizza Slices
Cheese Pizza Slices
Gluten-Free Pepperoni Pizza Slices
Gluten-Free Cheese Pizza Slices
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