Pizza Lunch Order Form
Please return bottom portion of form no later than Monday September 18, 2006
Welcome to the St. Cyril Pizza Lunch Program for 2006-2007 school year.
We are excited to offer our children a NEW healthy alternative to their favourite food at the same
LOW price of only $2.17 per lunch.
THAT’S AN AMAZING OFFER!!!
To satisfy the Toronto District School Board’s requirement to encourage our children to have healthy eating habits,
we will be offering a choice of Fruit Juice Boxes or Water (500 ml plastic bottle)
This year pizza lunches will be served on Friday’s twice a month (September, December and June will only be once a month).
Please see lunch schedule below.
Note: Children in Kindergarten can participate in Pizza lunches. They are given their Pizza in lieu of snack
Given the volunteer time this program requires,
we are asking for parent volunteers to assist in distributing pizza and drinks on pizza lunch dates.
The Menu:
Ø Combo 1:
1 slice of Pepperoni pizza and choice of Juice or Bottled Water: $37.00
Ø Combo 2:
2 slices of Pepperoni pizza and choice of Juice or Bottled Water: $57.00
Ø Combo 3:
3 slices of Pepperoni pizza and choice of Juice or Bottled Water: $85.00
Ø Extra Juice or Bottled Water $10.00
As in the past, all profits from this initiative will be reinvested into our children’s classrooms.
¨ Please complete the attached order form for ALL your children and staple ONE cheque to the order form. The cheque should have your contact information as well as your child (ren’s) name and their teacher’s name on the front of the cheque.
¨ Payment may be made in full by cheque payable to “St. Cyril Catholic School Foundation.”
NOTE: YOU ARE WELCOME TO JOIN THE PIZZA PROGRAM AT ANY TIME DURING THE YEAR. ADJUSTED
PAYMENT AMOUNTS FOR MID-YEAR JOININGS
ARE LISTED BELOW.
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Friday September 29th, 2006 |
Friday January 12th, 2007 |
Friday April 13th, 2007 |
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Friday October 13th, 2006 |
Friday January 26th, 2007 |
Friday April 27th, 2007 |
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Friday October 27th, 2006 |
Friday February 9th, 2007 |
Friday May 11th, 2007 |
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Friday November 10th, 2006 |
Friday February 23rd, 2007 |
Friday May 25th, 2007 |
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Friday November 24th, 2006 |
Friday March 2nd, 2007 |
Friday June 8th, 2007 |
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Friday December 8th, 2006 |
Friday March 30th, 2007 |
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Click on icon to get to form for completion and printing:
http://www.tcdsb.org/stcyril/Pizza Lunch Order Form.doc
Please cu
t, complete and return bottom portion with cheque before you wish to start the Pizza Program for 2004-2005
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¨ Please complete the attached order form for ALL your children and staple ONE cheque to the order form. The cheque should have your contact information as well as your child (ren’s) name and their teacher’s name on the front of the cheque.
¨
Payment may be made in full
by cheque payable to “St.
Cyril Catholic School Advisory Council.”
by
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St.
Cyril’s Pizza Lunch Program
The Menu:
Ø Combo 1:
1 slice of Pepperoni pizza and choice of Juice or Bottled Water: $37.00
Ø Combo 2:
2 slices of Pepperoni pizza and choice of Juice or Bottled Water: $57.00
Ø Combo 3:
3 slices of Pepperoni pizza and choice of Juice or Bottled Water: $85.00
Ø Extra Juice or Bottle Water $10.00
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Family Name |
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Mother's Name |
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Father's Name |
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Address |
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City: |
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Postal Code: |
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Email Address #1 |
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Email Address #2 |
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Home Phone |
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Mother's Work # |
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Father's Work # |
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Cell # |
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Can we share your contact information (phone # only) in the form of a class list? (Note: Signature required in order for your name to be shared on class list) |
Yes/No |
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Phone # for class list use
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Signature
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I am willing to help with the Pizza Lunch Program: |
Yes/No |
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Student Given Name |
Grade |
Teacher |
Combo |
Drink |
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(eg. 1 English) |
Indicate Combo |
Juice or Water (circle 1) |
Extra Drink |
Amount |
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J / W |
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$ |
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J / W |
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$ |
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J / W |
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$ |
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J / W |
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$ |
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Total Pizza Order |
$ |
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Family Donation (can be included here or on CSAC Registration Form or here) |
$
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Total |
$ |
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Mid Year Pizza Sign-up Amounts:
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For Orders Taken Before |
Combo 1 |
Combo 2 |
Combo 3 |
Extra Drink |
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29-Sep-06 |
$37.00 |
$57.00 |
$85.00 |
$10.00 |
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13-Oct-06 |
$35.00 |
$53.00 |
$80.00 |
$9.00 |
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27-Oct-06 |
$33.00 |
$50.00 |
$75.00 |
$8.00 |
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10-Nov-06 |
$30.00 |
$46.00 |
$70.00 |
$7.50 |
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24-Nov-06 |
$28.00 |
$43.00 |
$65.00 |
$7.00 |
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8-Dec-06 |
$25.00 |
$40.00 |
$60.00 |
$6.50 |
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12-Jan-07 |
$23.00 |
$37.00 |
$55.00 |
$6.00 |
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26-Jan-07 |
$21.00 |
$34.00 |
$50.00 |
$5.50 |
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9-Feb-07 |
$18.00 |
$30.00 |
$45.00 |
$5.00 |
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23-Feb-07 |
$16.00 |
$27.00 |
$40.00 |
$4.50 |
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2-Mar-07 |
$14.00 |
$23.00 |
$35.00 |
$4.00 |
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30-Mar-07 |
$12.00 |
$20.00 |
$30.00 |
$3.50 |
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13Apr-07 |
$10.00 |
$16.00 |
$25.00 |
$3.00 |
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27-Apr-07 |
$8.00 |
$13.00 |
$20.00 |
$2.50 |
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11-May-07 |
$6.00 |
$9.00 |
$15.00 |
$2.00 |
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25-May-07 |
$4.00 |
$8.00 |
$10.00 |
$1.50 |
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8-Jun-07 |
$2.00 |
$4.00 |
$5.00 |
$1.00 |
