Mickey
Student Birthday Celebration
Order Form

 

Please enter all information below. This information is important in order to schedule your student birthday celebration.


Student's Name:
Teacher's Name:
Date of Birthday Celebration:
Time Class Arrives at Lunch:
Number of Students to be Served:

Indicate in the spaces below the quantity of items you would like to order for your student birthday celebration. For items you do not wish to purchase, leave the field blank. When your order is complete, click the "Submit" button and then print and sign the form. You may use this form when you meet with your child's cafeteria manager to make arrangements for their birthday celebration. Please contact the cafeteria manager at least one (1) week in advance of the desired date of your child's birthday celebration.

Item Description Amount Ordered Unit Cost Total Cost
Otis Spunkmeyer Fresh Baked Cookie $0.45  
Little Debbie Brownie $0.50  
Fruit by the Foot, General Mills $0.50  
Kellogg's Rice Krispie Treat $0.75  
Frozen Yogurt Cup $0.75  
Ice Cream Cup, or Sandwich $0.75  
Cry Baby - Sour Cherry Italian Ice $0.75  
Luigi's Sherbet Cup $0.75  
Luigi's Real Italian Ice Tube $1.50  
Milk, 1/2 pint $0.50  
100% Fruit Juice (boxed drink) $0.50  
  Total Due  
Date Paid  


All orders come with small gift, personalized birthday card and colored napkins.

Food Services Logo
Parent's signature:
Date ordered: