Monthly School Lunch Sign Up

1
Please note!Please read the following before proceeding to the next page.
If you sign up for school lunch, we will be providing plates and utensils which have been cleaned and sanitized in our industrial grade dishwasher.
If you prefer to bring your own plate and utensils, you are welcome to do so. We will return plates and utensils rinsed, not washed, nightly.
2
Please note!Please read the following before proceeding to the next page.
Beverages & snacks are not provided, please bring your own snacks (2) and thermos daily
Daily Lunch (as needed) can be purchased for $5.50 by contacting the front desk
Day-of lunch orders must be submitted by 10:30 am
3
Parent/Guardian's Information
First Name
Last Name
Email address
4
Which campus does your child attend?
Fullerton Campus
Yorba Linda Campus
5
Child's Information
First Name
Last Name
1
2
3
4
5
6
7
8
9
10
11
Room Number
6
Child's Information
First Name
Last Name
1
2
3
4
Room Number
7
Please select a Monthly Lunch option for {childsInformation[1]}{childsInformation42[1]}
5x per week - $100
3x per week (Mon/Wed/Fri) - $65
2x per week (Tues/Thurs) - $40
8
Please select a start date for {childsInformation[1]}{childsInformation42[1]}'s lunchMonthly lunches will not be pro-rated; therefore notice must be given before the 1st day of the month to add/cancel for the following month.
8/1/2020
9/1/2020
10/1/2020
11/1/2020
12/1/2020
1/1/2021
2/1/2021
3/1/2021
4/1/2021
5/1/2021
9
Add another child?
YESNO
10
Child's Information
First Name
Last Name
1
2
3
4
5
6
7
8
9
10
11
Room Number
11
Child's Information
First Name
Last Name
1
2
3
4
Room Number
12
Please select a Monthly Lunch option for {childsInformation21[1]}{childsInformation43[1]}
5x per week - $100
3x per week (Mon/Wed/Fri) - $65
2x per week (Tues/Thurs) - $40
13
Please select a start date for {childsInformation21[1]}{childsInformation43[1]}'s lunchMonthly lunches will not be pro-rated; therefore notice must be given before the 1st day of the month to add/cancel for the following month.
8/1/2020
9/1/2020
10/1/2020
11/1/2020
12/1/2020
1/1/2021
2/1/2021
3/1/2021
4/1/2021
5/1/2021
14
Add another child?
YESNO
15
Child's Information
First Name
Last Name
1
2
3
4
5
6
7
8
9
10
11
Room Number
16
Child's Information
First Name
Last Name
1
2
3
4
Room Number
17
Please select a Monthly Lunch option for {childsInformation22[1]}{childsInformation44[1]}
5x per week - $100
3x per week (Mon/Wed/Fri) - $65
2x per week (Tues/Thurs) - $40
18
Please select a start date for {childsInformation22[1]}{childsInformation44[1]}'s lunchMonthly lunches will not be pro-rated; therefore notice must be given before the 1st day of the month to add/cancel for the following month.
8/1/2020
9/1/2020
10/1/2020
11/1/2020
12/1/2020
1/1/2021
2/1/2021
3/1/2021
4/1/2021
5/1/2021
19
Total to be charged to ledger
20
Parent/Guardian's SignatureI understand that my ledger will be charged for my Monthly School Lunch selection(s).
ClearPlease sign your name with your cursor/stylus/finger
Should be Empty: