Language
English (US)
Lunch Order Form 2021
MYC
Week starting (Monday):
*
-
Month
-
Day
Year
Child First Name
*
Child Last Name
*
Member Last Name (if it differs from child)
MONDAY LUNCH ORDER
*
1 slice of Pizza
2 slices of Pizza
None
Special Instructions
TUESDAY LUNCH ORDER
*
Burrito- beef
Burrito- Chicken
Burrito- Veggie
Soft Tacos- Chicken
Soft Tacos- Beef
Quesadilla- Cheese
Quesadilla- Chicken and Cheese
Quesadilla - Beef and Cheese
NONE
ADD ON Black Beans/Rice
ADD ON Black Beans
ADD ON Rice
Special Instructions
WEDNESDAY LUNCH ORDER
*
Yogurt-Granola-Fruit Parfait
Yogurt -Granola (NO Fruit) Parfait
Chicken Fingers
Chopped Chicken Fingers over Salad
Yogurt-Granola-Fruit Parfait and Chicken Fingers
Yogurt-Granola (NO Fruit) Parfait and Chicken Fingers
NONE
ADD A SIDE
Apple Slices
Special Instructions
THURSDAY LUNCH ORDER
*
Veggie Sub
Mike's Famous Philly Cheesesteak
Mike's Chicken Philly Cheesesteak
Roast Beef & Provolone Sub
Italian Sub
The Club Sub
Ham & Cheese Sub
Turkey & Cheese Sub
Turkey Sub (no cheese)
Tuna Sub
NONE
Special Instructions
FRIDAY LUNCH ORDER
*
Hot Dog
2 Hot Dogs
Cheeseburger
Cheeseburger & a Hot Dog
Hamburger
Grilled Chicken Sandwich
Grilled Cheese Sandwich
Grilled Chicken Caesar Salad
Caesar Salad (no Chicken)
NONE
Special Instructions
Submit
Should be Empty: