2021-2022 Miriam Academy Pizza Friday Sign Up

Pizza Friday Sign Up
The Parent Association will again coordinate Pizza Friday for the school year. Each lunch will include up to four silces of pizza or a personal size gluten free pizza with a soda and a dessert. The personal size gluten free pizzas can also be dairy free (with no cheese).

For safety reasons, this year all items other than pizza will be pre-packaged in individual servings. Parent Association Officers will plate and prepare the pizza and teachers will help students pick up their orders from the kitchen.

Dates for Pizza Friday:
- September 10
- October 8
- November 12
- December 10
- January 14
- February 11
- March 18
- April15
Student's Name *

First Name Last Name
Cheese
Sausage
Pepperoni
Gluten Free 10" Personal Pizza

Cheese Pepperoni Sausage
Dairy Free (No Cheese on my Gluten Free Pizza)

Yes No
There is a minimum of two slices and costs for the remainder of the year are:

Regular pizza, up to 4 slices - $45.00
- Gluten free 10" personal pizza - $100.00
Please submit cash or check payment by October 2. Checks can be made payable to "Miriam Academy" and sent with student for teachers to collect.
Parent/Guardian Signature *

First Name Last Name
Date *

Month Day Year
Student Birthdate *
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