Fun Lunch Order Form: Sept – Dec, 2017
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, August 31, 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. ***
9/8Dairy 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
9/15Popeyes Chicken
2 pc Tender w/mashed potatoes and biscuit$5.00Qty____ Mac & Cheese, corn and biscuit $5.00 Qty____
9/22Culver’s
Corn Dog, chips & 3 oz. custard$5.00Qty____
Cheeseburger, chips & 3 oz. custard $5.00Qty____
Grilled Cheese, chips & 3 oz. custard$5.00Qty____
9/29Meatheads
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, AUGUST 31, 2017
10/13Rosario’s
Pepperoni Panzerotti & Italian Ice$5.00Qty____
Cheese Panzerotti & Italian Ice$5.00Qty____
Mostaccioli, bread roll & Italian Ice$5.00Qty____
10/20Dairy 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
10/27Popeyes Chicken
2 pc Tender w/mashed potatoes and biscuit$5.00Qty____ Mac & Cheese, corn and biscuit $5.00 Qty____
11/3Culver’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____
11/10Meatheads
Cheeseburger, chips & chocolate cookie$5.00Qty____
2 pc. Chicken Tenders, chips & chocolate cookie$5.00Qty____
Grilled Cheese, chips & chocolate cookie$5.00Qty____
11/17Rosario’s
Pepperoni Panzerotti & Italian Ice$5.00Qty____
Cheese Panzerotti & Italian Ice$5.00Qty____
Mostaccioli, bread roll & Italian Ice$5.00Qty____
12/1Popeyes Chicken
2 pc Tender w/mashed potatoes and biscuit$5.00Qty____ Mac & Cheese, corn and biscuit $5.00 Qty____
ORDERS ARE DUE THURSDAY, AUGUST 31, 2017
12/8Meatheads
Cheeseburger, chips & chocolate cookie$5.00Qty____
2 pc. Chicken Tenders, chips & chocolate cookie$5.00Qty____
Grilled Cheese, chips & chocolate cookie$5.00Qty____
12/15Dairy 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)
9/89/159/229/2910/1310/2010/2711/311/1011/1712/112/812/15
Name: ______Phone: ______
Email: ______