Pre-Pesach Hot Lunch
Name
*
First Name
Last Name
Email
*
example@example.com
Number of Child(ren)
*
Please Select
0
1
2
3
4
5
6
Number of Staff
*
Please Select
0
1
2
Child Name (1)
*
Child Grade (1)
*
Please Select
Kindergarten
1B
1G
2B
2G
3B
3G
4B
4G
5B
5G
6B
6G
7B
7G
8B
8G
{childName} Monday:
*
Pizza lunch $7.50
Pizza lunch $7.50 + Additional slice $3.50
None
{childName} Tuesday:
*
Hot dog lunch $8.50
Hot dog lunch $8.50 + Additional hot dog $4.50
Hamburger lunch $8.50
Hamburger lunch $8.50 + Additional hamburger $4.50
None
Child Name (2)
*
Child Grade (2)
*
Please Select
Kindergarten
1B
1G
2B
2G
3B
3G
4B
4G
5B
5G
6B
6G
7B
7G
8B
8G
{childName22} Monday:
*
Pizza lunch $7.50
Pizza lunch $7.50 + Additional slice $3.50
None
{childName22} Tuesday:
*
Hot dog lunch $8.50
Hot dog lunch $8.50 + Additional hot dog $4.50
Hamburger lunch $8.50
Hamburger lunch $8.50 + Additional hamburger $4.50
None
Child Name (3)
*
Child Grade (3)
*
Please Select
Kindergarten
1B
1G
2B
2G
3B
3G
4B
4G
5B
5G
6B
6G
7B
7G
8B
8G
{childName25} Monday:
*
Monday - Pizza lunch $7.50
Monday - Pizza lunch $7.50 + Additional slice $3.50
None
{childName25} Tuesday:
*
Hot dog lunch $8.50
Hot dog lunch $8.50 + Additional hot dog $4.50
Hamburger lunch $8.50
Hamburger lunch $8.50 + Additional hamburger $4.50
None
Child Name (4)
*
Child Grade (4)
*
Please Select
Kindergarten
1B
1G
2B
2G
3B
3G
4B
4G
5B
5G
6B
6G
7B
7G
8B
8G
{childName28} Monday:
*
Monday - Pizza lunch $7.50
Monday - Pizza lunch $7.50 + Additional slice $3.50
None
{childName28} Tuesday:
*
Hot dog lunch $8.50
Hot dog lunch $8.50 + Additional hot dog $4.50
Hamburger lunch $8.50
Hamburger lunch $8.50 + Additional hamburger $4.50
None
Child Name (5)
*
Child Grade (5)
*
Please Select
Kindergarten
1B
1G
2B
2G
3B
3G
4B
4G
5B
5G
6B
6G
7B
7G
8B
8G
{childName31} Monday:
*
Monday - Pizza lunch $7.50
Monday - Pizza lunch $7.50 + Additional slice $3.50
None
{childName31} Tuesday:
*
Hot dog lunch $8.50
Hot dog lunch $8.50 + Additional hot dog $4.50
Hamburger lunch $8.50
Hamburger lunch $8.50 + Additional hamburger $4.50
None
Child Name (6)
*
Child Grade (6)
*
Please Select
Kindergarten
1B
1G
2B
2G
3B
3G
4B
4G
5B
5G
6B
6G
7B
7G
8B
8G
{childName34} Monday:
*
Monday - Pizza lunch $7.50
Monday - Pizza lunch $7.50 + Additional slice $3.50
None
{childName34} Tuesday:
*
Hot dog lunch $8.50
Hot dog lunch $8.50 + Additional hot dog $4.50
Hamburger lunch $8.50
Hamburger lunch $8.50 + Additional hamburger $4.50
None
Staff Name (1)
*
{staffName} Monday:
*
Monday - Pizza lunch $7.50
Monday - Pizza lunch $7.50 + Additional slice $3.50
None
{staffName} Tuesday:
*
Hot dog lunch $8.50
Hot dog lunch $8.50 + Additional hot dog $4.50
Hamburger lunch $8.50
Hamburger lunch $8.50 + Additional hamburger $4.50
None
Staff Name (2)
*
{staffName47} Monday:
*
Monday - Pizza lunch $7.50
Monday - Pizza lunch $7.50 + Additional slice $3.50
None
{staffName47} Tuesday:
*
Hot dog lunch $8.50
Hot dog lunch $8.50 + Additional hot dog $4.50
Hamburger lunch $8.50
Hamburger lunch $8.50 + Additional hamburger $4.50
None
Total
Payment
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USD
Total
Credit Card
Submit
Should be Empty: