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SJS Falcons - Lunch Count
1
Teacher Name
*
This field is required.
First Name
Last Name
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2
Grade
*
This field is required.
1A, 3B, 6B, etc...
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3
Grade Level
*
This field is required.
Please Select
K3A
K4A
K4B
K5A
K5B
1A
1B
2A
2B
3A
3B
4A
5A
5B
6A
6B
7A
7B
8A
8B
Please Select
Please Select
K3A
K4A
K4B
K5A
K5B
1A
1B
2A
2B
3A
3B
4A
5A
5B
6A
6B
7A
7B
8A
8B
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4
Is today Thursday?
YES
NO
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5
Entree Information
Please enter a number from
0
to
50
.
Main Entree #
Alt. Entree #
Alt. Option (i.e. Salad, Potato, etc.) #
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6
Pizza Slices
Please enter a number from
0
to
50
.
Pizza Slices (1)
Pizza Slices (2)
Pizza Slices (3)
Pizza Slices (4)
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7
Notes
Any special notes to the cafeteria...
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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8
Email
*
This field is required.
example@example.com
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