Sea Breeze School
Lunch Order Form
Page 1 of 2
Chalet Ticino
April 2015
Sun
29
Mon
Tue
March 30
Wed
April 1
March 31
5
6
7
Meatballs
with rice and corn
SPRING
BREAK
Fri
April 2
8
Cheese pizza
Strawberry yogurt
Sat
April 3
4
SPRING
BREAK
SPRING
BREAK
SPRING
BREAK
SPRING
BREAK
SPRING
BREAK
Thu
9
10 11
Broccoli
Chicken teriyaki
with rice
and peas
Penne with
butter and
parmesan cheese
Bananas
Watermelon
Carrots
Sliced peaches
12
13
14
Chicken nuggets Spaghetti marinara
with meatballs
Green beans
Broccoli
Grapes
Strawberry yogurt
19
20
Penne with
butter and
parmesan
cheese
26
21
Grilled chicken
with mashed
potatoes and
gravy
Broccoli
Carrots
Peaches
Strawberry yogurt
27
28
Orange chicken Spaghetti marinara
with rice
with meatballs
Green beans
Broccoli
Oranges
Watermelon
15
Cheese pizza
16
Cheese burgers
Green beans
Carrots
Fruit cocktail
Bananas
22
Cheese pizza
Green beans
Watermelon
17 18
Baked macaroni
noodles with
hot dogs
Oranges
23
24 25
Macaroni &
Ground turkey
cheese
with taco
seasoning and
Peas and carrots
corn chips
Apples
Broccoli
Bananas
29
Cheese pizza
30
Cheese burgers
Carrots
Green beans
Peaches
Fruit cocktail
Child’s Name: ______________________
IMPORTANT: Please have all lunch orders
in by 5pm on Friday of the prior week.
Circle the dates for the
lunches you wish to order
OR check here
for all 18 days
23
Rice with fresh
broccoli...
1058-C Shell Blvd. Foster City, CA 94404 phone: (650) 571-0507 fax: (650) 571-5108 web: ChaletTicino.us
Chalet Ticino
1.
Sea Breeze School
Lunch Order Form
Page 2 of 2
On Which Dates Are You Ordering Lunch?
On the menu calendar (page 1), please mark the dates for which you wish to order lunch.
Please use just one order form per child. Additional order forms are available online at:
http://ChaletTicino.us/SchoolLunches
2.
Contact Information
Student’s First Name _______________
Parent’s Name ____________________
Student’s Last Name _______________
Phone Number ____________________
Room Number ______ (Important)
3.
Email ____________________
Calculate the Order Total
(Example: Lunch for 2 days X $4 per lunch = $ 8 Order Total)
Lunch for _______ days X $4 per lunch = $________ Order Total
4.
Payment Information
To Pay by Check
To Pay by Visa or MasterCard ($10 or more)
Please make out a check,
in the amount of the order
total, payable to
‘Chalet Ticino’
Cardholder Name ___________________________
Card Number ___________________________
Expiration Date ____/____
(mm/yy)
Circle one: Visa
MasterCard
(Credit cards accepted for orders of $10 or more)
5.
Send in the Order Form
Please enclose this order form (with a check, if you are paying by check) in an envelope
marked ‘Chalet Ticino School Lunches’ and leave the envelope at the Sea Breeze school office
or drop it off at Chalet Ticino restaurant. Alternatively, if you are paying by credit card, you
may fax both pages of this order form to (650) 571-5108. IMPORTANT: All lunch orders
must be received no later than 5pm on Friday of the prior week.
6.
If You Must Cancel a Lunch
To cancel a lunch, please call Chalet Ticino restaurant at (650) 571-0507 no later than 8am
on the day of the lunch order. You may leave a telephone message if the restaurant is not
yet open. Please tell us your name, phone number, the name of your child, and the date for
which the lunch order is to be cancelled.
1058-C Shell Blvd. Foster City, CA 94404
phone: (650) 571-0507
fax: (650) 571-5108
web: ChaletTicino.us