Smart Snack Order Form for Themed Birthday Parties

***ORDER MUST BE RECEIVED AT LEAST 10 SCHOOL DAYS PRIOR TO CELEBRATION OR REQUEST WILL BE DENIED. WEEKENDS, HOLIDAYS, PLANNING DAYS DO NOT COUNT.*** Payment is due upon placing your order. Each USDA Smart Snack Approved party serves up to 24 students.

Today's Date Today's Date / MM / DD YYYY
Date of Party Date of Party / MM / DD YYYY
Child's Name:
Child's ID Number:
Child's Teacher:
Parent's Name:
Parent's Contact Number:
Number of Students:
Form of Payment

Form of Payment Child's Account Credit Check Cash
Themed Party Option (up to 24 students, one treat per student unless specified)

Themed Party Option (up to 24 students, one treat per student unless specified) Cookie Monster $13 - Choice of Chocolate Chip, Candy Chip, or Double Fudge Frosted Cookie $14 - Sugar Cookie (21 per box) Chip Chip Hooray $15 - Specify choice in box below: Doritos, Popcorn, BBQ, or Baked Lays Funfetti Krispie Treat $15 - Funfetti Sprinkle Rice Krispie Treat Ice Cream $12 - Chocolate, Vanilla, or Strawberry Ice Cream Cup Chocolate Cupcake $18 - Chocolate cream filled cupcake Pop & Go Party $12 - Freeze Pop made with 100% fruit juice. Flavors vary. Funfetti Cake Bar $18 - Vanilla Flavored Cake with Rainbow Sprinkles
Treat Details (variety, flavor, etc...)
Quantity Needed: Above price includes snacks for up to 24 students (except for Frosted Cookies which are sold in boxes of 21).
Total Amount Due: $ Dollars . Cents
***ORDER MUST BE RECEIVED 10 DAYS PRIOR TO THE CELEBRATION.***

Please contact Stephanie Szmall, Cafeteria Manager, for more information at
(813)794-1678 or sszmall@pasco.k12.fl.us

All payments must be received at time of order.

Note: Items are subject to change throughout the year.

Nutritional information can be found on www.mealviewer.com
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