Café 233 Pizza Party Request

Please return the following form at least 1 week prior to your event to your school’s lunch aide.

Students/adults may order an extra pizza slice entrée at a cost of $2.35. Adult cost for meal is $4.50 for ’24-25.

Today’s Date: Click here to enter a date.

Contact Name: Click here to enter name.

School: Click here to choose a school.

Grade(s)/Teacher(s): Click here to enter.

Any student w/ meal modification (special diet) on file? Yes ☐ No ☐

Date of Party: Click here to enter a date.

# of Students Eating: Click here to enter amt.

# of Staff Eating: Click here to enter amt.

Lunch Time: Click here to enter time- AM/PM

An extra slice may be ordered. The extra entrée price is $2.35.

MENU:

Pizza Slice

Salad

Baby Carrots & Ranch

Applesauce or Fruit Cup or Fresh Fruit (as available)

Milk

Juice (optional)

Please specify how many slices of each pizza and how many milk/juice you would like.

Cheese slices: Click to enter amt.

Extra Entrée slices: Click to enter amt.

Pepperoni slices: Click to enter amt.

Extra Entrée slices: Click to enter amt.

1% White Milk: Click to enter amt.

Skim Chocolate Milk: Click to enter amt.

Orange Juice: Click to enter amt.

Apple Juice: not currently available

Comments: Click to type.

(FPC OFFICE USE)
Items on Menu	Estimate Subtract New Amt
A -
Chg in Scheduled Menu MPOP	B -
Chg Cons. Order CK Shipping Excel	Y -
Confirm Print Email Sent	Total -
Calendar Reminder Rev. 9.21.22