2022-2023 Pizza Form*

Please choose from these 5 options for the year. Every option comes with a snack. (Potato chips, Oreo cookies, or rice krispies treat)

1. One slice of pizza - $130

2. Two slices of pizza - $210

3. Five Chicken nuggets - $130

4. Ten chicken nuggets - $210

4. One slice of pizza and five chicken nuggets - $210

Please check the last box to agree to have your FACTS incidental expenses account charged for your order.

Family Last Name

Child 1 First Name

Homeroom

Please select *

Child 2 First Name

Homeroom

Please select *

Child 3 First Name

Homeroom

Please select *

Child 4 First Name

Homeroom

Please select *

Required checkbox * (1 required)

I agree to have my FACTS account charged for my order

Enter Your Email Address: *