TERM III HOT LUNCH SIGN-UP

(March 21 – June 10, 2011)

Preschool - 5th grade (1 milk/juice) $342.00 _____

Preschool - 5th grade (2 milk/juice) $381.00 _____

6th - 12th grade (1 milk/juice) $379.00 _____

6th - 12th grade (2 milk/juice) $418.00 _____ ====================================================

Please return this form with payment by

Wednesday, March 9, 2011

Please make checks payable to SIDESTREET DINING SERVICES

_________________________________________ ____________________ Student Name(s) Grade(s) ___________________________________________ Date _______________ Parent /Guardian Signature

Sidestreet Dining Services, Inc.

Chef Nicholas Fenske 952-918-1830