Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please use the form below to order our Wednesday lunch program. The listed prices are for the entire year. We are offering Dominos pizza, and the deadline for ordering is Monday, September 14th. Pizza lunch begin on Wednesday, September 23rd.Parent Name *FirstLastEmail *Order for Child #1 *FirstLastTeacher *— Select Choice —Ms. Rowsell – JKMrs. Manouchehri – JK/SKMrs. Vedder/Mrs. Vriend – SKMrs. deHaan/Mrs. Docksteader – Gr. 1Ms. ten Brink – Gr. 1/2Ms. Ellens – Gr. 2Mr. Tremblay – Gr. 3Mr. Van Raalte – Grade 3/4Mr. Gorecki – Gr. 4Mme. Lafontaine – Gr. 5Mrs. Kerr – Gr. 5/6Mme. Speirs – Gr. 6Mr. Peacock/Mrs. Jewell – Gr. 7/8AMr. Héroux – Gr. 7/8BMrs. Coetsee – Gr. 7/8CStaffPizza *— Select Choice —None – $0.001 slice – Regular – $70.002 slices – Regular – $140.00Gluten Free – 1/2 of 10" small pizza small pizza – $105.00Pizza ToppingsCheesePepperoniAllergies *+ Add Child #2 *YesNoOrder for Child #2 *FirstLastTeacher *— Select Choice —Ms. Rowsell – JKMrs. Manouchehri – JK/SKMrs. Vedder/Mrs. Vriend – SKMrs. deHaan/Mrs. Docksteader – Gr. 1Ms. ten Brink – Gr. 1/2Ms. Ellens – Gr. 2Mr. Tremblay – Gr. 3Mr. Van Raalte – Gr. 3/4Mr. Gorecki – Gr. 4Mme. Lafontaine – Gr. 5Mrs. Kerr – Gr. 5/6Mme. Speirs – Gr. 6Mr. Peacock/Mrs. Jewell – Gr. 7/8AMr. Héroux – Gr. 7/8BMrs. Coetsee – Gr. 7/8CStaffPizza *— Select Choice —None – $0.001 slice – Regular – $70.002 slices – Regular – $140.00Gluten Free – 1/2 of 10" small pizza – $105.00Pizza ToppingsCheesePepperoniAllergies *+ Add Child #3 *YesNo Order #3 #1 Order for Child #3 *FirstLastTeacher *— Select Choice —Ms. Rowsell – JKMrs. Manouchehri – JK/SKMrs. Vedder/Mrs. Vriend – SKMrs. deHaan/Mrs. Docksteader – Gr. 1Ms. ten Brink – Gr. 1/2Ms. Ellens – Gr. 2Mr. Tremblay – Gr. 3Mr. Van Raalte – Gr. 3/4Mr. Gorecki – Gr. 4Mme. Lafontaine – Gr. 5Mrs. Kerr – Gr. 5/6Mme. Speirs – Gr. 6Mr. Peacock/Mrs. Jewell – Gr. 7/8AMr. Héroux – Gr. 7/8BMrs. Coetsee – Gr. 7/8CPizza *— Select Choice —None – $0.001 slice – Regular – $70.002 slices – Regular – $140.00Gluten Free – 1/2 of 10" small pizza – $105.00Pizza ToppingsCheesePepperoniAllergies *+ Add Child #4 *YesNoOrder for Child #4 *FirstLastTeacher *— Select Choice —Ms. Rowsell – JKMrs. Manouchehri – JK/SKMrs. Vedder/Mrs. Vriend – SKMrs. deHaan/Mrs. Docksteader – Gr. 1Ms. ten Brink – Gr. 1/2Ms. Ellens – Gr. 2Mr. Tremblay – Gr. 3Mr. Van Raalte – Gr. 3/4Mr. Gorecki – Gr. 4Mme. Lafontaine – Gr. 5Mrs. Kerr – Gr. 5/6Mme. Speirs – Gr. 6Mr. Peacock/Mrs. Jewell – Gr. 7/8AMr. Héroux – Gr. 7/8BMrs. Coetsee – Gr. 7/8CPizza *— Select Choice —None – $0.001 slice – Regular – $70.002 slices – Regular – $140.00Gluten Free – 1/2 of 10" small pizza – $105.00Pizza ToppingsCheesePepperoniAllergies *+ Add Child #5 *YesNoOrder for Child #5 *FirstLastTeacher *— Select Choice —Ms. Rowsell – JKMrs. Manouchehri – JK/SKMrs. Vedder/Mrs. Vriend – SKMrs. deHaan/Mrs. Docksteader – Gr. 1Ms. ten Brink – Gr. 1/2Ms. Ellens – Gr. 2Mr. Tremblay – Gr. 3Mr. Van Raalte – Gr. 3/4Mr. Gorecki – Gr. 4Mme. Lafontaine – Gr. 5Mrs. Kerr – Gr. 5/6Mme. Speirs – Gr. 6Mr. Peacock/Mrs. Jewell – Gr. 7/8AMr. Héroux – Gr. 7/8BMrs. Coetsee – Gr. 7/8CPizza *— Select Choice —None – $0.001 slice – Regular – $70.002 slices – Regular – $140.00Gluten Free – 1/2 of 10" small pizza – $105.00Pizza ToppingsCheesePepperoniAllergies *Payment MethodCash (drop off at Front Office)E-transfer: [email protected] (add “lunch program” in the note)Total (Amount Due) Order Summary Item Quantity Qty Total There are no products selected. Pizza – None1$0.00Pizza – 1 slice – Regular1$70.00Pizza – 2 slices – Regular1$140.00Pizza – Gluten Free – 1/2 of 10″ small pizza small pizza1$105.00Pizza – None1$0.00Pizza – 1 slice – Regular1$70.00Pizza – 2 slices – Regular1$140.00Pizza – Gluten Free – 1/2 of 10″ small pizza1$105.00Pizza – None1$0.00Pizza – 1 slice – Regular1$70.00Pizza – 2 slices – Regular1$140.00Pizza – Gluten Free – 1/2 of 10″ small pizza1$105.00Pizza – None1$0.00Pizza – 1 slice – Regular1$70.00Pizza – 2 slices – Regular1$140.00Pizza – Gluten Free – 1/2 of 10″ small pizza1$105.00Pizza – None1$0.00Pizza – 1 slice – Regular1$70.00Pizza – 2 slices – Regular1$140.00Pizza – Gluten Free – 1/2 of 10″ small pizza1$105.00Total$0.00 $0.00Submit
