Lunch Order Form August 27, 2026

Student/Staff 1

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Grade REQUIRED Please fill out this field.
Teacher REQUIRED Please fill out this field.
Lunch Order REQUIRED
5.5 – Main Lunch-House Salad with Grilled Chicken, Fruit, & Chips
5.5 – Sandwich: Ham, Salami, & Cheese, Mustard/Mayo, Chips & Fruit
3.0 – PB & J
2.5 – Carrot & Cuke Cup with Ranch
1.0 – Snack Item
0.6 – Milk
0.6 – Chocolate Milk
0.6 – Juice
0.6 – Water Please fill out this field.

Student/Staff 2

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Grade REQUIRED Please fill out this field.
Teacher REQUIRED Please fill out this field.
Lunch Order REQUIRED
5.5 – Main Lunch-House Salad with Grilled Chicken, Fruit, & Chips
5.5 – Sandwich: Ham, Salami, & Cheese, Mustard/Mayo, Chips & Fruit
3.0 – PB & J
2.5 – Carrot & Cuke Cup with Ranch
1.0 – Snack Item
0.6 – Milk
0.6 – Chocolate Milk
0.6 – Juice
0.6 – Water Please fill out this field.

Student/Staff 3

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Grade REQUIRED Please fill out this field.
Teacher REQUIRED Please fill out this field.
Lunch Order REQUIRED
5.5 – Main Lunch-House Salad with Grilled Chicken, Fruit, & Chips
5.5 – Sandwich: Ham, Salami, & Cheese, Mustard/Mayo, Chips & Fruit
3.0 – PB & J
2.5 – Carrot & Cuke Cup with Ranch
1.0 – Snack Item
0.6 – Milk
0.6 – Chocolate Milk
0.6 – Juice
0.6 – Water Please fill out this field.

Student/Staff 4

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Grade REQUIRED Please fill out this field.
Teacher REQUIRED Please fill out this field.
Lunch Order REQUIRED
5.5 – Main Lunch-House Salad with Grilled Chicken, Fruit, & Chips
5.5 – Sandwich: Ham, Salami, & Cheese, Mustard/Mayo, Chips & Fruit
3.0 – PB & J
2.5 – Carrot & Cuke Cup with Ranch
1.0 – Snack Item
0.6 – Milk
0.6 – Chocolate Milk
0.6 – Juice
0.6 – Water Please fill out this field.

Student/Staff 5

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.
Grade REQUIRED Please fill out this field.
Teacher REQUIRED Please fill out this field.
Lunch Order REQUIRED
5.5 – Main Lunch-House Salad with Grilled Chicken, Fruit, & Chips
5.5 – Sandwich: Ham, Salami, & Cheese, Mustard/Mayo, Chips & Fruit
3.0 – PB & J
2.5 – Carrot & Cuke Cup with Ranch
1.0 – Snack Item
0.6 – Milk
0.6 – Chocolate Milk
0.6 – Juice
0.6 – Water Please fill out this field.

Ordering Instructions