2024-2025 Pizza Form (K-8)*

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 - $150

2. Two slices of pizza - $220

3. Five Chicken nuggets - $150

4. Ten chicken nuggets - $220

4. One slice of pizza and five chicken nuggets - $220

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

Grade Level

Food Choice, Please select 1

Child 2 First Name

Grade Level

Food Choice, Please select 1

Child 3 First Name

Grade Level

Food Choice, Please select 1

Child 4 First Name

Grade Level

Food Choice, Please select 1

Required checkbox * (1 required)

I agree to have my FACTS account charged for my order

I acknowledge food may come in contact with allergens, and I release SJS of all responsibility * (1 required)

I agree

Enter Your Email Address: *