How many students are you registering?
1
2
3
4
Student #1 Name
*
Grade/Classroom
*
Junior Kindergarten
Senior Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Student #2 Name
*
Grade/Classroom
*
Junior Kindergarten
Senior Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Grade/Classroom
*
Junior Kindergarten
Senior Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Student #3 Name
*
Grade/Classroom
*
Junior Kindergarten
Senior Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Student #4 Name
*
List of Allergies/Food Restrictions
Number of Lunches Ordered
Total
$6.00 per lunch
Payment Method
*
Cheque payable to Glenn Arbour Academy
Credit Card on File
Your E-mail address
*
Confirmation Email
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