Opu licious
(808) 386-3354
STUDENT ENROLLMENT FORM
NAVY HALE KEIKI SCHOOL
JANUARY 2018
Student Name: ______Grade:______
<or> Faculty/Staff Name: ______
Parent/Guardian: ______
Home or Cell Ph:______Business Phone:______
Address:______
e-mail Address: ______
PRE SCHOOL:
MONTHLY MEAL FEE: $66.64 (14 days)
DAILY MEAL FEE: $4.76
GRADES K – 4:
MONTHLY MEAL FEE $70.28 (14 days)
DAILY MEAL FEE: $5.02
No. of Meals ____X $4.76 = $______(Pre School)
No. of Meals ____X $5.02 = $______(Grades k – 4)
No. of Meals ____ X $5.20 = $______(Faculty/Teachers/Staff)
Deadline: DECEMBER 7, 2017
All meal payments will be charged through FACTS.
Drop off at School Office
$10.00 Cancellation Fee
No refunds for cancellations, illness and/or vacation.
JANUARY Lunch MENU
All meals are under the guidance of the USDA Child Nutrition guidelines.
Menu subject to change without notice.
1% Low Fat Fresh White Milk served with all meals
Monday / Tuesday / Wednesday / Thursday / Friday1
/ 2 / 3 / 4 / 5
8
Baked Spaghetti
French Bread
Toss Salad
Fruit Jell-O / 9
Hot Pastrami Melt
French Fries
Green Beans
Peaches / 10
Chili Con Carne
Hapa Rice
Mixed Vegetables
Applesauce / 11
Chicken Nuggets
French Fries
Baby Carrots
Mandarin
Oranges / 12
15 HOLIDAY
/ 16
Cheese Pizza
Hapa Rice
Baby Carrots
Fruit Cocktail / 17
Chicken Long Rice
Hapa Rice
Mixed Vegetables
Peaches / 18
Mac ‘n Cheese
WW Roll
Corn ‘n Carrots
Mandarin Oranges / 19
22
Spaghetti w/ Meatballs
French Bread
Corn ‘n Carrots
Applesauce / 23
Kalua Pork ‘n Cabbage
Hapa Rice
WW Roll
Pineapple / 24
Chicken Patty w/ Poultry Gravy
Hapa Rice
Peas
Fruit Cocktail / 25
Ground Beef Stew
Hapa Rice
Biscuit
Peaches / 26
29
Creole Macaroni
French Bread
Mixed Vegetables
Fruit Cocktail / 30
Chow Mein Noodles
Kung Fu Panda Egg Roll |Corn
Orange Wedges / 31
Sloppy Joe
French Fries
Baby Carrots
Peaches