FIELD TRIP LUNCH ORDER FORM

Complete this form only if you are requesting a field trip (sack) lunch. To allow processing, your order is due seven (7) school days prior to the date of the field trip.

(Please print)

Student name: ________________________________ Grade: _________________

Teacher: _______________________________ Field trip date: _________________

Lunch choice (check one): ____ Sunbutter & Jam Sandwich, fruit/vegetable, snack, milk

____ Turkey Sandwich, fruit/vegetable, snack, milk

Cost is $6.50 per lunch and payment is due with this order seven (7) school days prior to the field trip date.

Please make checks payable to Mill Valley School District and turn in to the teacher organizing the field trip. If your student currently receives free or reduced price meals, no payment is due with the order.

PLEASE NOTE: If you have pre-ordered a regular Choice Lunch entrée for the field trip date, remember to go online to choicelunch.com and cancel it. Ordering a field trip lunch will NOT cancel that order.

_______________________________________ __________________________

Parent Signature & date Parent contact phone number