Lunch Order Form
Student Name and Grade
*
Name
Grade
Monday
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( X )
Corn Dog
$1.25
$
1.25
Quantity
Monday
Tuesday
Wednesday
Thursday
Friday
Hot Pocket
$1.75
$
1.75
Quantity
Monday
Tuesday
Wednesday
Thursday
Friday
Cheeseburger Sliders
$2.50
$
2.50
Quantity
Monday
Tuesday
Wednesday
Thursday
Friday
Chips
$1.00
$
1.00
Quantity
Monday
Tuesday
Wednesday
Thursday
Friday
Candy Bar
$1.75
$
1.75
Quantity
Monday
Tuesday
Wednesday
Thursday
Friday
Canned Drink
$1.00
$
1.00
Quantity
Monday
Tuesday
Wednesday
Thursday
Friday
Water
$0.50
$
0.50
Quantity
Monday
Tuesday
Wednesday
Thursday
Friday
Juice
$0.75
$
0.75
Quantity
Monday
Tuesday
Wednesday
Thursday
Friday
Popsicle
$0.25
$
0.25
Quantity
Monday
Tuesday
Wednesday
Thursday
Friday
Submit
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