Opu
August/September Lunch MENU licious
ENROLLMENT FORM
St. Theresa School - August/September 2014
Student Name: ________________________Grade:____Class:____ Parent/Guardian: ________________________________________ Home or Cell Ph:____________ Business Phone:________________ Address:______________________________________________ E-­‐mail Address: ________________________________________ No Lunches on the following dates: September 1, 17,18,19 DAILY MEAL FEE: Grade K-­‐3 $ 4.71 and Grade 4-­‐8 $ 4.97 1% Low Fat Fresh White Milk served with all meals Eat for the entire month or choose your days! Please circle days. No. of Meals _____x $4.71 = $__________(grades K-­‐3) No. of Meals _____x $5.71 = $__________(grades K-­‐3) LARGER PORTIONS No. of Meals _____x $4.97 = $__________(grades 4-­‐8) No. of Meals _____x $5.97 = $__________(grades 4-­‐8) LARGER PORTIONS _____Check enclosed – Payable to Opulicious Restaurant (No out of state checks accepted) We Also accept Money Order or Cashier’s Check – $_______ _____Cash – $_________ ______Credit Card # _________________________________________________ EXPIRATION: _______ 3 Code digit (back of card) ________
Circle: VISA MC DISCOVER AMEX Total Amount $________(minimum purchase $25) Deadline is August 20, 2014 Drop off at St. Theresa School Office $10.00 Cancellation Fee $30.00 Fee on all returned checks No refunds for cancellations, illness or vacation. All meals are under the guidance of the USDA Child Nutrition guidelines. Menu subject to change without notice. All meals served with fresh low fat milk. Monday
25 Chicken Nugget French Fries Carrot Sticks Orange Wedges 1 LABOR DAY HOLIDAY NO SCHOOL 8 Frank ‘n Weenie Beanie Hapa Rice Peas Orange 15 Creole Macaroni French Bread Tossed Salad Peaches Tuesday
26 Chili Con Carne Hapa Rice Peas ‘n Corn Grapes Melons 2 Sweet Sour Fish Hapa Rice Peas ‘n Corn Pineapple ‘n Banana 9 Pork Stir Fry Hapa Rice Roll Fresh Apple 16 Swishy Fishy w/ Tartar Sauce Hapa Rice|Roll Cole Slaw| Fruit Cocktail Wednesday
27 Thursday
Friday
28 29 Kalua Pork ‘n Cabbage Hapa Rice Peas | Roll Pineapple 3 4 5 11 12 Chicken Curry Hapa Rice Biscuit Peaches Mac ‘n Cheese French Bread Corn Fruit Cocktail Hamburger Hapa Rice Carrots ‘n Broccoli Peaches Chicken Patty Hapa Rice Mixed Vegetables Applesauce Chili con carne Hapa Rice Peas ‘n Corn Pineapple ‘n Banana 10 Chicken Patty w/ Gravy Mash Potato Mixed Vegetables Fruit Cocktail Ground Beef Stew Hapa Rice Biscuit Peaches 17 18 Parent / Teacher Conferences Parent / Teacher Conferences EARLY DISMISSAL @ 11:00 A.M. EARLY DISMISSAL @ 11:00 A.M. Corn Dog French Fries Carrot Sticks Fresh Banana 19 EARLY DISMISSAL @ 11:00 A.M. Faculty Planning Day 22 23 24 25 26 29 30 Baked Spaghetti French Bread Organic Spring Mix Applesauce Tuna Casserole French Bread Tossed Salad Orange ‘n Strawberries Chicken Nuggets French Fries Carrot Sticks Orange Wedges Chili Con carne Hapa Rice Peas ‘n Corn Grapes ‘n Melons Kalua Pork n Cabbage Hapa Rice Roll Pineapple Chunks Sloppy Joe French Fries Vegetable Sticks Fresh Apple Cookie Burrtio w/salsa Spanish Rice Greens Beans Fruit Cocktail Please circle days! 

Jan. - A Touch of Yogurt