Student's Name
Student's Grade
1
2
3
4
5
6
7
8
9
Adult
Only order for
one
student at a time.
If you order for more than more than one student, your order
will not
process properly.
Sorry for any inconvenience this may cause you.
Rumbi Island Grill - Monday
Sep 30 - Teriyaki Chicken & Veggie with White:
$3.00
Quantity:
Item Subtotal:
$0.00
Sep 30 - Orange Chicken with White Rice:
$3.00
Quantity:
Item Subtotal:
$0.00
Oct 7 - Teriyaki Chicken & Veggie with White:
$3.00
Quantity:
Item Subtotal:
$0.00
Oct 7 - Orange Chicken with White Rice:
$3.00
Quantity:
Item Subtotal:
$0.00
October 14--Fall Break--No School
Oct 21 - Teriyaki Chicken & Veggie with White:
$3.00
Quantity:
Item Subtotal:
$0.00
Oct 21 - Orange Chicken with White Rice:
$3.00
Quantity:
Item Subtotal:
$0.00
Oct 28 - Teriyaki Chicken & Veggie with White:
$3.00
Quantity:
Item Subtotal:
$0.00
Oct 28 - Orange Chicken with White Rice:
$3.00
Quantity:
Item Subtotal:
$0.00
Chick-Fil-A - Tuesday
Oct 1 - Chicken Sandwich:
$3.00
Quantity:
Item Subtotal:
$0.00
Oct 1 - 8 Piece Nuggets:
$3.00
Quantity:
Item Subtotal:
$0.00
Oct 8 - Chicken Sandwich:
$3.00
Quantity:
Item Subtotal:
$0.00
Oct 8 - 8 Piece Nuggets:
$3.00
Quantity:
Item Subtotal:
$0.00
October 15--Fall Break--No School
Oct 22 - Chicken Sandwich:
$3.00
Quantity:
Item Subtotal:
$0.00
Oct 22 - 8 Piece Nuggets:
$3.00
Quantity:
Item Subtotal:
$0.00
Oct 29 - Chicken Sandwich:
$3.00
Quantity:
Item Subtotal:
$0.00
Oct 29 - 8 Piece Nuggets:
$3.00
Quantity:
Item Subtotal:
$0.00
Domino's Pizza - Wednesday
Domino's Pepperoni Pizza (1 Slice)
Oct 2 - Pizza Slice:
$1.00
Quantity:
Item Subtotal:
$0.00
Oct 9 - Pizza Slice:
$1.00
Quantity:
Item Subtotal:
$0.00
October 16--Fall Break--No School
Oct 23 - Pizza Slice:
$1.00
Quantity:
Item Subtotal:
$0.00
Oct 30 - Pizza Slice:
$1.00
Quantity:
Item Subtotal:
$0.00
Costa Vida - Thursday
Oct 3 - 2 Cheese Quesadillas with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Oct 3 - Sweet Pork Taco with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Oct 3 - Chicken Enchilada with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Oct 3 - Small Sweet Pork Salad:
$3.50
Quantity:
Item Subtotal:
$0.00
Oct 10 - 2 Cheese Quesadillas with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Oct 10 - Sweet Pork Taco with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Oct 10 - Chicken Enchilada with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Oct 10 - Small Sweet Pork Salad:
$3.50
Quantity:
Item Subtotal:
$0.00
October 17--Fall Break--No School
l
Oct 24 - 2 Cheese Quesadillas with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Oct 24 - Sweet Pork Taco with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Oct 24 - Chicken Enchilada with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Oct 24 - Small Sweet Pork Salad:
$3.50
Quantity:
Item Subtotal:
$0.00
Oct 31 - 2 Cheese Quesadillas with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Oct 31 - Sweet Pork Taco with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Oct 31 - Chicken Enchilada with Rice:
$3.50
Quantity:
Item Subtotal:
$0.00
Oct 31 - Small Sweet Pork Salad:
$3.50
Quantity:
Item Subtotal:
$0.00
Maverik - Friday
Oct 4 - Hot Dog:
$1.75
Quantity:
Item Subtotal:
$0.00
Oct 4 - Corn Dog:
$1.75
Quantity:
Item Subtotal:
$0.00
Oct 4 - Box of Mini Tacos:
$3.00
Quantity:
Item Subtotal:
$0.00
October 11 - No School
October 18--Fall Break--No School
Oct 25 - Hot Dog:
$1.75
Quantity:
Item Subtotal:
$0.00
Oct 25 - Corn Dog:
$1.75
Quantity:
Item Subtotal:
$0.00
Oct 25 - Box of Mini Tacos:
$3.00
Quantity:
Item Subtotal:
$0.00
November 1 - No School
Total:
$0.00
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Schools 800-764-0844 Clinton UT
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