Pizza and Sushi Form 5787

Pizza
Available for all students, nine days throughout the year on Rosh Chodesh (We have done our best to schedule the dates so they will align with BCM iyH)

Preschool students can order either 1 or 2 slices; Grades 1-8 students receive 2 slices.

Sushi
Available for Grades 1-8, nine Sundays throughout the year. Sushi orders will include 10 large pieces in each package (previously 6 small ones). Sushi prices reflect the increase in quantity and quality.

Dates are on the Cheder school calendar. Please submit your order(s) before Tuesday, September 15th.

Please note: we can only provide pizza/sushi lunches to those students who have pre-ordered

If your family requires a subsidy or an alternate arrangement, please don’t hesitate to reach out confidentially to Cheder PTA by emailing [email protected].

This form can accept orders for up to 3 students. For additional students, please place a second order.

Parent Full Name*

First Name Last Name

Email address*

Phone Number*

Area Code Phone Number

Number of students ordering for*

Student Name*

First Name Last Name

Grade*

Pizza Order (Preschool)*

1 Slice ($35)2 Slices ($65)

Pizza Order (Grades 1-8)*

Yes, please order 2 slices ($65)No, I will not be ordering pizza

Sushi Order Grades 1-8 ONLY

1 Cucumber Roll ($75)2 Cucumber Rolls ($150)

1 Avocado Roll ($80)2 Avocado Rolls ($160)

1 California Roll ($85)2 California Rolls ($170)

Student Name (2)*

First Name Last Name

Grade (2)*

Pizza Order (2) - Preschool

1 Slice ($35)2 Slices ($65)

Pizza Order (2) - (Grades 1-8)*

Yes, please order 2 slices ($65)No, I will not be ordering pizza

Sushi Order (2) Grades 1-8 ONLY

1 Cucumber Roll ($75)2 Cucumber Rolls ($150)

1 Avocado Roll ($80)2 Avocado Rolls ($160)

1 California Roll ($85)2 California Rolls ($170)

Student Name (3)*

First Name Last Name

Grade (3)*

Pizza Order (3) - Preschool

1 Slice ($35)2 Slices ($65)

Pizza Order (3) - (Grades 1-8)*

Yes, please order 2 slices ($65)No, I will not be ordering pizza

Sushi Order (3) Grades 1-8 ONLY

1 Cucumber Roll ($75)2 Cucumber Rolls ($150)

1 Avocado Roll ($80)2 Avocado Rolls ($160)

1 California Roll ($85)2 California Rolls ($170)

Yes! I would like to sponsor

1 slice of pizza for a student for the year ($35)2 slices of pizza for 1 student for the year ($65)2 slices of pizza for 3 students for the year ($185)2 pies of pizza for staff for the year ($360)5 pies of pizza for the staff for the year ($900)10 pies of pizza for the staff for the year ($1800)

Total

$0.00

Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment*

Paypal E-transfer
Paypal has been selected. Payment will take place on the next page.
Please e-transfer [email protected]. Your submission is incomplete until payment is received. It is your responsibility to send in payment.

Your order is only complete once payment is received.

Family Details

Student Details

Child 1

Child 2

Child 3

Sponsor a Student

Payment Information