January Lunch Order Form

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January Lunch Order Form

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Email *

Grade Level

6

7

8

9

10

11

12

Employee

Clear selection

Last Name *

First Name *

Lunch Location Green Day *

Lunch Location White Day *

Wednesday, January 6th

Burger, chips, and drink

Chicken Strips, Mash Potatoes w/ Gravy, Green Beans, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Thursday, January 7th

Burger, chips, and drink

Salisbury Steak, Rice, Roll, Mix Vegetables, Banana Pudding, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Friday, January 8th

Burger, chips, and drink

Taco Bake, Tortilla Chips, Spanish Rice, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Monday, January 11th

Burger, chips, and drink

Meatball Sandwich, Ranch Potato Salad, Okra, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Tuesday, January 12th

Burger, chips, and drink

Pizza, Corn, Ice Cream Cup, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Wednesday, January 13th

Burger, chips, and drink

Chicken Fried Steak, Mash Potatoes w/ Gravy, Green Beans, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Thursday, January 14th

Burger, chips, and drink

Chicken Spaghetti, roll, Medley Vegetable, and bread pudding

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Friday, January 15th

Burger, chips, and drink

Beef and Bean Burrito, Spanish Rice, Pinto Beans, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Tuesday, January 19th

Burger, chips, and drink

Tater Tot Casserole, Mixed Vegetables, Crispy Treat, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Wednesday, January 20th

Burger, chips, and drink

Chicken Nuggets, Mash Potatoes, Corn, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Thursday, January 21st

Burger, chips, and drink

Beef Broccoli Stir Fry, Rice, Roll, Apple Crisp, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Friday, January 22nd

Burger, chips, and drink

Taco Salad, Pinto Beans, Spanish Rice, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Monday, January 25th

Burger, chips, and drink

Ravioli, Bread Stick, Corn, Salad, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Tuesday, January 26th

Burger, chips, and drink

Chili Cheese Dog, Mac and Cheese, Cookie, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Wednesday, January 27th

Burger, chips, and drink

Steak Fingers, Mash Potatoes, Green Beans, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Thursday, January 28th

Burger, chips, and drink

Baked Chicken, Rice, Roll, Peach Cobbler, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

Friday, January 29th

Burger, chips, and drink

Enchiladas, Tortilla Chips, Spanish Rice, and drink

Main Entree with extra helping. Additional charge of $2.25 - $4.00

Clear selection

A copy of your responses will be emailed to the address you provided.

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