Pizza Order Form "*" indicates required fields X/TwitterThis field is for validation purposes and should be left unchanged.2026-2027 Wednesday September 9th, October 14th, November 4th, December 2nd, January 13th, February 3rd, March 10th, April 14th, May 12th and June 2nd.*Reminder to Click “Submit” at the bottom of the page to finalize your order.Parent's First and Last Name First Last Number of Children 1 2 3 Child 1Name*Please enter your child’s name. First Last Grade*Please select a grade for your childFull Day PreschoolKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth GradeBy the SlicesCheese ($1.60 x 1 slice) x 10 = $16.00 ($1.60 x 2 slices) x 10 = $32.00 ($1.60 x 3 slices) x 10 = $48.00 Pepperoni ($1.80 x 1 slice) x 10 = $18.00 ($1.80 x 2 slices) x 10 = $36.00 ($1.80 x 3 slices) x 10 = $54.00 1 Slice Cheese 2 Slices Cheese 3 Slices Cheese 1 Slice Pepperoni 2 Slices Pepperoni 3 Slices Pepperoni CombosCombo Cheese & Pepperoni 1 slice Cheese ($1.60) + 1 slice Pepperoni ($1.80) x 10 = $34.00 2 slices Cheese ($3.20) + 1 slice Pepperoni ($1.80) x 10 = $50.00 1 slice Cheese ($1.60) + 2 slices Pepperoni ($3.60) x 10 = $52.00 1 Slice Cheese + 1 Slice Pepperoni 2 Slices Cheese + 1 Slice Pepperoni 1 Slice Cheese + 2 Slices Pepperoni Child 2Name*Please enter your child’s name. First Last Grade*Please select a grade for your childFull Day PreschoolKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth GradeBy the SlicesCheese ($1.60 x 1 slice) x 10 = $16.00 ($1.60 x 2 slices) x 10 = $32.00 ($1.60 x 3 slices) x 10 = $48.00 Pepperoni ($1.80 x 1 slice) x 10 = $18.00 ($1.80 x 2 slices) x 10 = $36.00 ($1.80 x 3 slices) x 10 = $54.00 1 Slice Cheese 2 Slices Cheese 3 Slices Cheese 1 Slice Pepperoni 2 Slices Pepperoni 3 Slices Pepperoni CombosCombo Cheese & Pepperoni 1 slice Cheese ($1.60) + 1 slice Pepperoni ($1.80) x 10 = $34.00 2 slices Cheese ($3.20) + 1 slice Pepperoni ($1.80) x 10 = $50.00 1 slice Cheese ($1.60) + 2 slices Pepperoni ($3.60) x 10 = $52.00 1 Slice Cheese + 1 Slice Pepperoni 2 Slices Cheese + 1 Slice Pepperoni 1 Slice Cheese + 2 Slices Pepperoni Child 3Name*Please enter your child’s name. First Last Grade*Please select a grade for your childFull Day PreschoolKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth GradeBy the SlicesCheese ($1.60 x 1 slice) x 10 = $16.00 ($1.60 x 2 slices) x 10 = $32.00 ($1.60 x 3 slices) x 10 = $48.00 Pepperoni ($1.80 x 1 slice) x 10 = $18.00 ($1.80 x 2 slices) x 10 = $36.00 ($1.80 x 3 slices) x 10 = $54.00 1 Slice Cheese 2 Slices Cheese 3 Slices Cheese 1 Slice Pepperoni 2 Slices Pepperoni 3 Slices Pepperoni CombosCombo Cheese & Pepperoni 1 slice Cheese ($1.60) + 1 slice Pepperoni ($1.80) x 10 = $34.00 2 slices Cheese ($3.20) + 1 slice Pepperoni ($1.80) x 10 = $50.00 1 slice Cheese ($1.60) + 2 slices Pepperoni ($3.60) x 10 = $52.00 1 Slice Cheese + 1 Slice Pepperoni 2 Slices Cheese + 1 Slice Pepperoni 1 Slice Cheese + 2 Slices Pepperoni PaymentPayment Form* Credit Card FACTS Check Credit CardCard Details Cardholder Name Please save or print this form for your records.Total Δ
