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Student Name __________________________________________________ Student Email ___________________________________________________ Parent Name ___________________________________________________ Parent email address _____________________________________________ Phone Number __________________________________________________ All items are optional. However, this form must be turned in with student and parent information filled out completely. T-Shirts DVD’s Size ______ Qty ______ $15ea. $15ea. A. TOTAL DUE By 11/28/11 Dinner
$_______ $_______ $_______
Monday, December 5th—Chipotle Tuesday, December 6th—Jimmy Johns Wednesday, December 7th—Chik-Fil-A If waffle fries were added $2.00 Thursday, December 8th—Noodles & Company If shrimp was added $2.50 B. TOTAL DUE By 11/28/11
$ $ $ $ $ $
7.50 6.50 5.50 2.00 6.50 2.50
Please see back of form for meal choices.
A. Total B. Total GRAND TOTAL DUE $_______ $_______ $_______
This form must be returned BY NOVEMBER 28TH to Mrs. Biggs.
Payment and food choices need to accompany this form. Individual students will be responsible for making their own dinner arrangements if they do not order from this form.
Check payable to CUSD 203 Friends of Drama.
Please contact Mrs. Dennison at 630-862-4340 for questions.
Monday, December 5th— Chipotle
Pick only one: Burrito Burrito Bowl Tacos—Soft or Hard shell? Circle your choice:
Rice—Yes / No Beans—Black / Pinto Meat—Chicken / Carnitas / Steak / Vege Salsa—Mild / Medium Corn / Medium Green / HOT Dairy—Sour Cream / Cheese / Lettuce
Tuesday, December 6th— Jimmy Johns
Pick only one: Totally Tuna—Fresh housemade tuna, mixed with celery, onions, and our tasty sauce, then topped with alfalfa sprouts,
cucumber, lettuce, and tomato.
Turkey Tom—Fresh sliced turkey breast, topped with lettuce, tomato, alfalfa sprouts, and mayo. Vegetarian—Layers of provolone cheese separated by real avocado spread, alfalfa sprouts, sliced cucumber, lettuce, tomato, and mayo.
Vito—The original Italian sub w\genoa salami, provolone, capicola, onion, lettuce, tomato & a real tasty Italian vinaigrette.
Wednesday, December 7th— Chick-fil-A
Pick only one: Chick-Fil-A ChicKen sandwich Chargrilled Chicken sandwich Chick-Fil-A Chicken Strips (qty 4) Circle your choice of sauce – BBQ / Buffalo / Ranch / Honey Mustard
Add Waffle Fries for $2.00 Brownie and Sweet Tea Included
Thursday, December 8th— Noodles & Company
Pick only one: Pad Thai— Rice noodle stir-fry w/scrambled egg, carrots, cabbage, sweet chile, citrus, peanuts, Asian sprouts and cilantro.
Add shimp for $2.50
Spaghetti & Meatballs—Five meatballs on spaghetti, crushed tomato marinara and parmesan. Wisconsin Mac N Cheese— A blend of cheddar and jack cheeses, cream, elbow macaroni – our number one seller. Pesto Cavatappi—Curly pasta, basil pesto, garlic, mushrooms, tomato, wine, cream, parmesan and Italian parsley.