Please call if you have any questions regarding fun lunch. Thank

ADDAMS PTA FUN LUNCH ORDER FORM INFORMATION
Please read the following information carefully:
Twice a month, Addams Jr. High students can order Fun Lunch from a set menu from a local restaurant.
Addams PTA offers fun lunch on a PRE-ORDER basis only and we cannot guarantee a lunch for your child unless
you have submitted this pre-order form.
While we make every attempt to order carefully, Addams PTA is not responsible for food allergies. The local
restaurants providing fun lunch are listed on the order form. Parents are encouraged to call the restaurants with
any questions or concerns.
Addams PTA will not issue a refund if your child is absent. You have the option to pick up your child’s lunch
during their lunch period - just call the office and let them know.
Please make sure your child’s name and lunch period are clearly marked on the order form. Please make a copy
of this order form for your records. Both pages of the completed order form and a payment (a check payable to
Addams PTA or exact cash) are due in the school office by Thursday, December 18, 2014.
Please call if you have any questions regarding fun lunch.
Thank You,
Ingrid Ackerman
847-352-4354
Addams PTA
Fun Lunch Chairperson
Addams Hot Lunch
2014
Page 1
JANE ADDAMS FUN LUNCH FORM 2015
January 9, 2015
Student Name:
RICCARDO'S
Grilled Chicken Sandwich, Chips, Fruit Cup, Water
Mostaccioli, Roll, Fruit Cup, Water
Pancakes & Sausage, Fruit Cup, Water
Garden Salad, Roll, Fruit Cup,Water
Student Name:
POPEYE'S
Chicken Strips,Mashed Potatoes, Biscuit, Water
Chicken Strips, Macaroni & Cheese, Biscuit, Water
Macaroni & Cheese, Corn on Cob, Biscuit, Water
Chicken Strips, Garden Salad, Biscuit, Water
Lunch Period:
Quantity Price Amount
$ 5.50
$ 5.50
$ 5.50
$5.50
Lunch Period:
Quantity Price Amount
$ 5.50
$ 5.50
$ 5.50
$ 5.50
February 6, 2015
Student Name:
ALOHA
Sweet & Sour Chicken, Fortune Cookie, Water
Orange Chicken, Fortune Cookie, Water
Veggie Fried Rice, Cinnamon Won Ton, Water
Lunch Period:
Quantity Price Amount
$ 5.50
$ 5.50
$ 5.50
February 20, 2015
Student Name:
JERSEY MIKE'S
Turkey Sub, Chips, Fruit Snack, Water
Ham Sub, Chips, Fruit Snack, Water
Veggie Sub, Chips, Fruit Snack, Water
Lunch Period:
Quantity Price Amount
$ 5.50
$ 5.50
$ 5.50
March 6, 2015
Student Name:
ROCCOVINO'S
Cheese Panzerotti, Chips, Fruit Cup, Water
Mostaccioli, Roll, Fruit Cup, Water
Macaroni & Cheese, Fruit Cup, Water
,Garden Salad, Roll, Fruit Cup, Water
Student Name:
BUONA BEEF
Italian Beef Sandwich, Chips, Cookie, Water
Meatball Sandwich, Chips, Cookie, Water
Mostaccioli, Roll, Cookie, Water
Lunch Period:
Quantity Price Amount
$ 5.50
$ 5.50
$ 5.50
$5.50
Lunch Period:
Quantity Price Amount
$ 5.50
$ 5.50
$ 5.50
January 23, 2015
March 20, 2015
Addams Hot Lunch
2014
Page 2
April 10, 2015
Student Name:
QDOBA
Beef Burrito, Chips & Salsa, Water
Chicken Burrito, Chips & Salsa, Water
Veggie Burrito, Chips & Salsa, Water
Lunch Period:
Quantity Price Amount
$ 5.50
$ 5.50
$ 5.50
April 24, 2015
Student Name:
RICCARDO'S
Chicken Parmesan Sandwich, Chips, Italian Ice, Water
Mostaccioli, Roll, Italian Ice, Water
Pancakes & Sausage, Italian Ice, Water
Garden Salad, Roll, Italian Ice, Water
Student Name:
POPEYE'S
Chicken Strips, Mashed Potatoes, Biscuit, Water
Chicken Strips, Macaroni & Cheese, Biscuit, Water
Macaroni & Cheese, Corn on Cob, Biscuit, Water
Chicken Strips, Garden Salad, Biscuit, Water
Student Name:
CULVER'S
Hamburger Baked Chips, Custard, Water
Cheeseburger, Baked Chips, Custard, Water
Chicken Tenders, Baked Chips, Custard, Water
Grilled Cheese, Baked Chips, Custard, Water
Lunch Period:
Quantity Price Amount
$ 5.50
$ 5.50
$ 5.50
May 8, 2015
May 22, 2015
$5.50
Lunch Period:
Quantity Price Amount
$ 5.50
$ 5.50
$ 5.50
$5.50
Lunch Period:
Quantity Price Amount
$ 5.50
$ 5.50
$ 5.50
$ 5.50
ORDER FORM DUE THURSDAY DECEMBER 18, 2014
PLEASE submit the exact order amount - NO CHANGE OR REFUNDS WILL BE GIVEN
MAKE CHECKS PAYABLE TO JANE ADDAMS PTA
JANE ADDAMS PTA IS NOT RESPONSIBLE FOR FOOD ALLERGIES
If a student is absent their order can be picked up in the cafeteria during their lunch period.
Parent Signature:
Phone:
QUESTIONS? Call Ingrid Ackerman @ 847-352-4354
Total for all orders: $
PTA USE ONLY:
Addams Hot Lunch
Date Rec: ________ Cash: ________ Check: ________ Initials: _________
2014
Page 3

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