Pizza and Sushi Form 5786

Pizza
Available for all students, nine days throughout the year (on or close to Rosh Chodesh)

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. New for this 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 Friday, י''ט אלול (September 12).

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.

Your order is only complete once payment is received.

Family Details

Student Details

Child 1

Child 2

Child 3

Sponsor a Student

Payment Information