ELEMENTARY SCHOOL MEALS PROGRAM

LUNCH ORDER FORM

School’s Name:
Student’s Name:
Grade:
Division:
Teacher:

Allergies / Religious Requests:

 Vegetarian/Fish OK □ Vegetarian/No Fish
 No Pork
 Other: _____________________________________________________

Payment Amount: _______________



September 2020

MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

1 2 3 4
Summer Summer Summer Summer
7 8 9 10 11
Labour No School No School No District No District
Day Lunches Lunches

14 15 16 17 18
No District No District No District No District No District
Lunches Lunches Lunches Lunches Lunches

21 22 23 24 25
Juice White Milk Juice Chocolate Milk District
Roast Beef Sandwich Cucumber Sandwich Turkey Sandwich Pizza Wrap Pro - D
Pudding Cookie Yogurt Granola Bar
Fruit Fruit Fruit Fruit Day

28 29 30
White Milk Juice Chocolate Milk
Roast Beef Sandwich Turkey Sandwich Chicken Wrap
Granola Bars Yogurt Cookie
Fruit Fruit Fruit

PLEASE NOTE:
• WE DO NOT GUARANTEE A NUT-FREE ENVIRONMENT. ALL OF OUR BREADS AND BAKED GOODS
MAY CONTAIN TRACES OF NUTS.
• MENU SUBJECT TO CHANGE BASED ON AVAILABILITY FROM SUPPLIERS.
• September 2020 Lunches: 7 @ $6.00 = $42.00
• Please pay with your (KEV) school cash on-line account.
• ORDER DUE TO OFFICE BY 9:00 AM, Tuesday September 15, 2020