CHEVERUS SCHOOL
APRIL LUNCHORDER FORM
Form must be returned to the school by dismissal on March 22, 2018.
Student Name: ______Grade: ______Rm#______
In the order form below, place a check mark to the right of each item you are ordering. You may order hot lunch or a sandwich or for each day. Milk is included with all lunch options. If you wish to order only milk, check the box under “milk only”.
Offered daily: milk (1% white, skim or low-fat chocolate), grains, hot or cold vegetables, fruit or juice.
Menu is subject to change without notice.
DATE / HOT LUNCH / SANDWICH / “MILKONLY”
April 03 / Macaroni and Cheese / Tuna Sandwich
April 04 / Beef Taco / Tuna Sandwich
April 05 / Pancake and Sausage / Tuna Sandwich
April 09 / Saucy Meatballs with a Roll / Turkey & Cheese Sandwich
April 10 / Breaded Fish Sticks / Turkey & Cheese Sandwich
April 11 / All Beef Hot Dog on a Roll / Turkey & Cheese Sandwich
April 12 / Teriyaki Chicken / Brown Rice / Turkey & Cheese Sandwich
April 13 / Hamburger with Chips / Turkey & Cheese Sandwich
April 23 / Baked Ziti / Chicken Salad Sandwich
April 24 / French Toast Sticks / Chicken Salad Sandwich
April 25 / Turkey Dinner / Chicken Salad Sandwich
April 26 / Cheeseburger on a Roll / Chicken Salad Sandwich
April 27 / Cheese Pizza / Chicken Salad Sandwich
April 30 / Chicken Patty on a Roll / Sun Butter & Jelly Sandwich
“This Institution is an equal opportunity provider”
Total number of hot lunches ordered: ______x $2.85 =$______
Total number of sandwiches ordered: ______x $2.85 = $______
Total containers of milk ordered: ______x $0.50 =$ ______
Total Amount Paid $ ______
Refunds for school cancellations will not be provided.