Highmark Lunch
             
Student's Name
Student's Grade
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
 
Jan 13 - Teriyaki Chicken & Veggie with White:   $5.00   Quantity:   Item Subtotal:  
$0.00
Jan 13 - Orange Chicken with White Rice:   $5.00   Quantity:   Item Subtotal:  
$0.00
 
Jan 20 - No School
 
Jan 27 - Teriyaki Chicken & Veggie with White:   $5.00   Quantity:   Item Subtotal:  
$0.00
Jan 27 - Orange Chicken with White Rice:   $5.00   Quantity:   Item Subtotal:  
$0.00
 
Feb 3 - Teriyaki Chicken & Veggie with White:   $5.00   Quantity:   Item Subtotal:  
$0.00
Feb 3 - Orange Chicken with White Rice:   $5.00   Quantity:   Item Subtotal:  
$0.00
 
Costa Vida - Tuesday
 
Jan 14 - 2 Cheese Quesadillas with Rice:   $4.50   Quantity:   Item Subtotal:  
$0.00
Jan 14 - Sweet Pork Taco with Rice:   $4.50   Quantity:   Item Subtotal:  
$0.00
Jan 14 - Chicken Enchilada with Rice:   $4.50   Quantity:   Item Subtotal:  
$0.00
Jan 14 - Small Sweet Pork Salad:   $5.00   Quantity:   Item Subtotal:  
$0.00
 
Jan 21 - 2 Cheese Quesadillas with Rice:   $4.50   Quantity:   Item Subtotal:  
$0.00
Jan 21 - Sweet Pork Taco with Rice:   $4.50   Quantity:   Item Subtotal:  
$0.00
Jan 21 - Chicken Enchilada with Rice:   $4.50   Quantity:   Item Subtotal:  
$0.00
Jan 21 - Small Sweet Pork Salad:   $5.00   Quantity:   Item Subtotal:  
$0.00
 
Jan 28 - 2 Cheese Quesadillas with Rice:   $4.50   Quantity:   Item Subtotal:  
$0.00
Jan 28 - Sweet Pork Taco with Rice:   $4.50   Quantity:   Item Subtotal:  
$0.00
Jan 28 - Chicken Enchilada with Rice:   $4.50   Quantity:   Item Subtotal:  
$0.00
Jan 28 - Small Sweet Pork Salad:   $5.00   Quantity:   Item Subtotal:  
$0.00
 
Feb 4 - 2 Cheese Quesadillas with Rice:   $4.50   Quantity:   Item Subtotal:  
$0.00
Feb 4 - Sweet Pork Taco with Rice:   $4.50   Quantity:   Item Subtotal:  
$0.00
Feb 4 - Chicken Enchilada with Rice:   $4.50   Quantity:   Item Subtotal:  
$0.00
Feb 4 - Small Sweet Pork Salad:   $5.00   Quantity:   Item Subtotal:  
$0.00
 
 
Domino's Pizza - Wednesday
Domino's Pepperoni Pizza (1 Slice)
 
Jan 15 - Pizza Slice:   $1.25   Quantity:   Item Subtotal:  
$0.00
Jan 22 - Pizza Slice:   $1.25   Quantity:   Item Subtotal:  
$0.00
Jan 29 - Pizza Slice:   $1.25   Quantity:   Item Subtotal:  
$0.00
Feb 5 - Pizza Slice:   $1.25   Quantity:   Item Subtotal:  
$0.00
 
Chick-Fil-A - Thursday
 
Jan 16 - 6th Grade Field Trip- Don't order for 6th grade
Jan 16 - Chicken Sandwich:   $4.75   Quantity:   Item Subtotal:  
$0.00
Jan 16 - 8 Piece Nuggets:   $5.40   Quantity:   Item Subtotal:  
$0.00
 
Jan 23 - Chicken Sandwich:   $4.75   Quantity:   Item Subtotal:  
$0.00
Jan 23 - 8 Piece Nuggets:   $5.40   Quantity:   Item Subtotal:  
$0.00
 
Jan 30 - Chicken Sandwich:   $4.75   Quantity:   Item Subtotal:  
$0.00
Jan 30 - 8 Piece Nuggets:   $5.40   Quantity:   Item Subtotal:  
$0.00
 
Feb 6 - Chicken Sandwich:   $4.75   Quantity:   Item Subtotal:  
$0.00
Feb 6 - 8 Piece Nuggets:   $5.40   Quantity:   Item Subtotal:  
$0.00
 
Maverik - Friday
 
Jan 17 - Corn Dog:   $2.00   Quantity:   Item Subtotal:  
$0.00
Jan 17 - French Toast Tornado:   $2.00   Quantity:   Item Subtotal:  
$0.00
Jan 17 - Ranchero Beef Tornado:   $2.00   Quantity:   Item Subtotal:  
$0.00
 
Jan 24 - Corn Dog:   $2.00   Quantity:   Item Subtotal:  
$0.00
Jan 24 - French Toast Tornado:   $2.00   Quantity:   Item Subtotal:  
$0.00
Jan 24 - Ranchero Beef Tornado:   $2.00   Quantity:   Item Subtotal:  
$0.00
 
Jan 31 - Corn Dog:   $2.00   Quantity:   Item Subtotal:  
$0.00
Jan 31 - French Toast Tornado:   $2.00   Quantity:   Item Subtotal:  
$0.00
Jan 31 - Ranchero Beef Tornado:   $2.00   Quantity:   Item Subtotal:  
$0.00
 
Feb 7 - Corn Dog:   $2.00   Quantity:   Item Subtotal:  
$0.00
Feb 7 - French Toast Tornado:   $2.00   Quantity:   Item Subtotal:  
$0.00
Feb 7 - Ranchero Beef Tornado:   $2.00   Quantity:   Item Subtotal:  
$0.00
 
 
Total:
$0.00

Payer's Information
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Student's Name is required
Student's Grade is required
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