HOT DOG AND PIZZA PERMISSION FORM 2010/2011

This form must be completed and returned by every student

Please complete the following:

My child____________________________ Div.____, will not be participating in this fundraiser.

My child____________________________ Div.____, will participate in this fundraiser and please find my

child’s order below with payment included.

Return to child’s classroom by Friday, September 24, 2010. No refunds or orders will be taken
after this date. Write your child’s name and division on the cheque and make cheques payable
to SOUTHLANDS P.A.C. (There is a $15.00 fee for NSF cheques). Orders returned to
school without cheques WILL NOT be processed.

Hot Dog Days:

Date Hot Dog Cookies $1.00 Milk $1.00 Total Money
$1.50 Choc Chip Choc. White
Oct 15
Oct 29
Nov 26
Dec 10
Jan 7
Jan 21
Feb 4
Feb 25

*Hot dogs are 100% beef, served on whole wheat buns. Subtotal______________

Pizza Days:
Date Pizza Cookies $1.00 Milk $1.00 Total Money
$2.25 Choc Chip Choc. White
Oct 22
Nov 5
Nov 19
Dec 3
Dec 17
Jan 14
Jan 28
Feb 18

*Pizza topping requested (please specify: Cheese, Pepperoni, Veggie. If not specified =
Cheese)
Subtotal____
__________
Total owing___________

Mark the above dates on your Calendar. Volunteers are essential to the success of this
program. Volunteer times for hot dog days are from 11:15 AM - 1:00 PM; pizza days from 11:30 -
12:45 PM. Please indicate dates you would be available to assist. Thank you.

Name___________________________________Phone_________________________

Email ____________________________________________

Available Dates__________________________________________________________
 HOT DOG AND PIZZA PERMISSION FORM 2010/2011
PAYMENT ENQUIRIES: contact Krista Hilton (604-266-1754) or kristahilton@shaw.ca
VOLUNTEER ENQUIRIES: contact Elaine Cooper (604-264-8290) or elainecooper@shaw.ca