CCLCS Lunch Order Form

CCLCS 2009-2010 Lunch Order Form

Student: ______________________________________

For the week beginning: _________________________

Homeroom: ____________________

All Lunches are $3.25 and come with lowfat milk and/or 100% apple juice.
Milk or juice may be ordered separately for fifty cents each.
Please indicate a beverage choice in the left column. If ordering milk, circle type:
R = Regular; C = Chocolate; S = Strawberry.

Monday - Papa Gino's Cheese Pizza
___ Milk ___ Juice ___ Juice + Milk Circle milk type: R / C / S	___ Box of 2 slices
Tuesday - Local Flavor (Roll-Ups come with American cheese & lettuce)
___ Milk ___ Juice ___ Juice + Milk Circle milk type: R / C / S	___ Turkey Roll-Up ___ Ham Roll-Up ___ Roast Beef Roll-Up ___ Salad with cheese and bread (no meat) Circle dressing: Italian / Ranch / Caesar ___ Chicken Noodle Soup w/carrots, onions, celery and bread
Wednesday - Northside Restaurant
___ Milk ___ Juice ___ Juice + Milk Circle milk type: R / C / S	___ Cheese Quesadilla; Celery / Carrots ___ Chicken wings with seasoned Rice; Celery ___ Breaded Chicken fingers with seasoned Rice; Celery ___ Veggie Burrito w Rice, Beans, Cheese, Lettuce & salsa ___ Beef Burrito w Beans & veggies
Thursday - Local Flavor
___ Milk ___ Juice ___ Juice + Milk Circle milk type: R / C / S	___ Turkey Wrap w/ cranberry sauce, stuffing & lettuce ___ Clam Chowder w/ crackers & Carrot sticks ___ Pasta & Meatball w/ Mini-salad Circle dressing: Italian / Ranch / Caesar ___ Mac & Cheese with Mini-salad Circle dressing: Italian / Ranch / Caesar
Friday - Chinese buffet
___ Milk ___ Juice ___ Juice + Milk Circle milk type: R / C / S	___ White and Fried Rice, Vegetables, Lo-mein noodles, Chicken, etc.

Cape Cod Lighthouse Charter School
Telephone: 508-240-2800

Total amount enclosed $ _________
(Please make checks payable to: CCLCS)

This form should be handed in on Thursday or Friday of the week preceeding the order.
(Last modified: 9/16/09)