Fun Lunch Order Form: Jan – May, 2018
Student Name ______Phone # ______
Teacher Name/Room # ______Total:______Check #______
Guardian Signature (required to process order) ______
Instructions:
- Please complete one form for each child. You may pay for multiple children with one check, payable to Dooley PTA. Return in an envelope marked “Fun Lunch” no later than Thursday, November 30, 2017.
- If your child is absent on Fun Lunch Day, you may come in to pick up your order. We do not issue refunds since the order will have already been placed with the vendor.
- Contact Liz Spandiary with any questions:
***In light of the fact that this food is prepared off site, trace amounts of peanuts and other nuts may be present. If your child is allergic to nuts orother food substance(s), caution should be exercised. ***
1/19Dairy Queen
Hot Dog, chips & 5 oz. Blizzard$5.00Qty____
Grilled Cheese, chips & 5 oz. Blizzard$5 .00 Qty____
Please check either Oreo______Strawberry______or Cookie Dough_____ for the Blizzard
1/26Popeyes Chicken
2 pc Tender w/mashed potatoes and biscuit$5.00Qty____ Mac & Cheese, corn and biscuit $5.00 Qty____
2/2Culver’s
Corn Dog, chips & 3 oz. custard$5.00Qty____
Cheeseburger, chips & 3 oz. custard $5.00Qty____
Grilled Cheese, chips & 3 oz. custard$5.00Qty____
2/9Meatheads
Cheeseburger, chips & chocolate cookie$5.00Qty____
2 pc. Chicken Tenders, chips & chocolate cookie$5.00Qty____
Grilled Cheese, chips & chocolate cookie$5.00Qty____
ORDERS ARE DUE THURSDAY, NOVEMBER 30, 2017
2/23Rosario’s
Pepperoni Panzerotti & Italian Ice$5.00Qty____
Cheese Panzerotti & Italian Ice$5.00Qty____
Mostaccioli, bread roll & Italian Ice$5.00Qty____
3/2Dairy Queen
Hot Dog, chips & 5 oz. Blizzard$5.00Qty____
Grilled Cheese, chips & 5 oz. Blizzard$5.00 Qty____
Please check either Oreo______Strawberry______or Cookie Dough_____ for the Blizzard
3/9Popeyes Chicken
2 pc Tender w/mashed potatoes and biscuit$5.00Qty____ Mac & Cheese, corn and biscuit $5.00 Qty____
3/16Culver’s
Corn Dog, baked chips & 3 oz. custard$5.00Qty____
Cheeseburger, baked chips & 3 oz. custard $5.00Qty____
Grilled Cheese, baked chips & 3 oz. custard$5.00Qty____
3/23Meatheads
Cheeseburger, chips & chocolate cookie$5.00Qty____
2 pc. Chicken Tenders, chips & chocolate cookie$5.00Qty____
Grilled Cheese, chips & chocolate cookie$5.00Qty____
4/6Rosario’s
Pepperoni Panzerotti & Italian Ice$5.00Qty____
Cheese Panzerotti & Italian Ice$5.00Qty____
Mostaccioli, bread roll & Italian Ice$5.00Qty____
4/13Popeyes Chicken
2 pc Tender w/mashed potatoes and biscuit$5.00Qty____ Mac & Cheese, corn and biscuit $5.00 Qty____
4/20Meatheads
Cheeseburger, chips & chocolate cookie$5.00Qty____
2 pc. Chicken Tenders, chips & chocolate cookie$5.00Qty____
Grilled Cheese, chips & chocolate cookie$5.00Qty____
ORDERS ARE DUE THURSDAY, NOVEMBER 30, 2017
4/27Dairy Queen
Hot Dog, chips & 5 oz. Blizzard$5.00Qty____
Grilled Cheese, chips & 5 oz. Blizzard$5.00 Qty____
Please check either Oreo______Strawberry______or Cookie Dough_____ for the Blizzard
5/4Popeyes Chicken
2 pc Tender w/mashed potatoes and biscuit$5.00Qty____ Mac & Cheese, corn and biscuit $5.00 Qty____
5/11Culver’s
Corn Dog, chips & 3 oz. custard$5.00Qty____
Cheeseburger, chips & 3 oz. custard $5.00Qty____
Grilled Cheese, chips & 3 oz. custard$5.00Qty____
5/18Meatheads
Cheeseburger, chips & chocolate cookie$5.00Qty____
2 pc. Chicken Tenders, chips & chocolate cookie$5.00Qty____
Grilled Cheese, chips & chocolate cookie$5.00Qty____
5/25Dairy Queen
Hot Dog, chips & 5 oz. Blizzard$5.00Qty____
Grilled Cheese, chips & 5 oz. Blizzard$5.00 Qty____
Please check either Oreo______Strawberry______or Cookie Dough_____ for the Blizzard
GRAND TOTAL$______
I would like to be contacted to help distribute food at 10:50 a.m. on these Fridays: (Circle Dates)
1/19 1/262/22/92/233/23/93/163/234/64/134/204/275/45/11 5/18 5/25
Name: ______Phone: ______
Email: ______