Sack Lunch Request Form

Fifteen business days are required when ordering sack lunches for field trips and other school-related events. The time is
needed for food and supplies to be ordered and prepared for on-time delivery.

Complete the form below and submit to your School Nutrition Manager

Today’s Date: 2/1/2023

School: North Clayton High

Person Requesting Meals: Mrs. Yancey (Art Teacher) Contact No. 404-932-2581

Grade Level(s): 9th-12th

Date of Field Trip or Event: 2/17/22

*Number of student lunches: 35 Pick-up Time: 8:30

Number of adult lunches: Adult Meal Prices - Breakfast $3.00 Lunch $4.75
(Adults must pay the cashier or nutrition manager for breakfast and/or lunch at the time of service)

SACK LUNCH ENTRÉE OPTIONS

Check sandwich choice (one sandwich choice for all participants)

Check one Sack Lunch Entrée # of lunches needed

✔ Deli Turkey & Cheese Sandwich 35

Deli Turkey Ham & Cheese Sandwich

PBJ Twin Pack

Sack lunch Includes;

1 Fresh Fruit of the Day
2 Fresh Vegetables (Carrot Sticks & Celery Sticks)
1 bag of Chips
1 carton of Milk

*Are there students with food allergies? If so, notify manager for an alternative meal.

Field Trip Facilitator Signature: Mrs. Yancey

Revised 1/7/2020
 (My signature states that I understand that meals must be consumed or discarded after 4 hours when not held under
proper refrigeration.)

Revised 1/7/2020