1. Enter any additional information here.
MSD BOONE TOWNSHIP Sack Lunch / Lunch-To-Go Request Form
Please complete and turn Into your teacher within 48 HOURS of the Field Trip.
Please call (219) ext. 107 with any questions. Thank you.
Students Name: ___________________________________________ Teacher/Grade: ____________________
(For Staff Use) Student Acct #______________________
ELEMENTARY……..$2.50
MIDDLE SCHOOL………….$2.75
HIGH SCHOOL…………$2.75
The cafeteria is offering to the busy and working parents an option to order a Sack Lunch for field trips. If a student qualifies for meal assistance, the Sack Lunch will count towards your student’s account as a compliant lunch. For those not receiving assistance, the Sack Lunch will be charged to their account just as if they were eating in the cafeteria. A la Carte’ items are an additional fee to ALL students.
As always, parents have the option to send a sack lunch from home for all field trips.
THANK YOU!
MENU
CHECK the box next to your preferred choice. All meals served with a napkin.
Entrée Choices (Choose One)
Cold Ham & Cheese on a Deli Bun
Cold Turkey & Cheese on a Deli Bun
Tossed salad w/Ranch Dressing (Fork included)
Side Choices (Choose Two)
Carrot Stix
Apple
Whole Grain Chips
Beverage Choices (Choose One)
Apple Juice
Orange Juice
8 oz. Bottled Water
A la Carte’ for additional fee to all students.
20 oz. Aquafina $1.50 ea
Fruit Rollup $.50 ea
Cookie $.50 ea
Enter any additional information here.
THANK YOU!
(Staff will attach slip to Sack Lunch)………………………………………………………………………………………………………………
Student Name _______________________ Teacher ________________