Immanuel First Lutheran School    

HOT LUNCH ORDER FORM
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The cost is $3.25 per lunch for monthly pre-orders.
(Lunch may be ordered by the day but at a cost of $3.75 per lunch).
 
Please remember that there is no reimbursement for prepaid lunches in the event that a child is absent.
 
Checks are made payable to Immanuel First Lutheran School.
 
Please call the office @ 919-1072 if you have any questions.
 
 

December's hot lunch menu can be found by clicking here
Circle the dates for which you are ordering lunch
 
 

 

DECEMBER
 
 
1 2 3 4 5
8 9 10 11 12
15 16 17 18 19
 

 

 


Student's Name ____________________________
Grade _______
 
Please circle the days that you are ordering lunch for your child:
     
Amount enclosed $________________________($3.25 x ______ Days)
 
Please check here if you do not want your child to have milk [    ]
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