Instructions:

  1. Please fill-out the form below and enter the quantities requested of each item per month. The per-month totals as well as the term total will auto-populate.
  2. After submitting your order (by clicking on the button at the very bottom), print the confirmation page and submit it to the school as usual with full term payment (cash or cheque) in a well sealed envelop. Make cheques payable to West Rouge Junior Public School (please indicate "Pizza Day" on the notes line of the cheque)
  3. Students will receive the exact same order each month for the term.
  4. Sorry, there can be no refunds issued for absent students
  5. Family orders may be submitted in the same envelope, but EACH student MUST have their own completed order form
  6. For special circumstances, please email Kim Stewart-Strong - kstewart.strong@gmail.com or Vanessa Martin - Vanessa_Ellis99@hotmail.com.

Term 2 Pizza Days - Due Monday, January 15th, 2018

Order Covers Dates:

  • Thursday, February 22nd, 2018
  • Thursday, March 22nd, 2018
  • Thursday, April 26th, 2018
  • Thursday, May 24th, 2018
  • Thursday, June 21st, 2018

PLEASE NOTE: We do not guarantee dietary specific chips for individual students. If your child has a particular dietary requirement, either do not order the chips or have them bring it home to be checked by a parent.

Student's Last Name:
Student's First Name:
Teacher:
Dietary Restrictions:

Item Qty
Per Mth
Qty
Per Trm
Price
Each
Cost
Per Month
Pepperoni Slices 0 $ 1.50 $ 0.00
Cheese Slices 0 $ 1.50 $ 0.00
 
Chips (random assorted flavours) 0 $ 0.75 $ 0.00
 
Fruits & Veggies (Carrots, Grapes) 0 $ 1.50 $ 0.00
Cookies 0 $ 0.50 $ 0.00
 
Chocolate Milk 0 $ 1.00 $ 0.00
White Milk 0 $ 1.00 $ 0.00
Juice 0 $ 1.00 $ 0.00
Total For 1 Month: $ 0.00
Total Payable for Term (Month Total x 5 ): $ 0.00