Pizza Days Order Form

See below for list of dates pizza will be served:

Meridian and Tripp	AJHS and Pritchett
September 22 - SOLD OUT	September 29 - SOLD OUT
November 10th	November 17th
January 28th	January 26th
March 9th	March 16th
May 15th/25th	May 18th

Pizza Days include:

Extra large slice of cheese pizza from Rosati's served with a fruit, and a vegetable

We apologize but there will be no refunds provided for absences.

Item Description Price Quantity Needed

Pizza Days - November, January, March and May Only
September is SOLD OUT! $40.00

#1	Student First Name Student Last Name Teacher Name* Do you need the Gluten Free option? (reset) Yes No	copy
#2	Student First Name Student Last Name Teacher Name* Do you need the Gluten Free option? (reset) Yes No
#3	Student First Name Student Last Name Teacher Name* Do you need the Gluten Free option? (reset) Yes No
#4	Student First Name Student Last Name Teacher Name* Do you need the Gluten Free option? (reset) Yes No
#5	Student First Name Student Last Name Teacher Name* Do you need the Gluten Free option? (reset) Yes No
#6	Student First Name Student Last Name Teacher Name* Do you need the Gluten Free option? (reset) Yes No
#7	Student First Name Student Last Name Teacher Name* Do you need the Gluten Free option? (reset) Yes No
#8	Student First Name Student Last Name Teacher Name* Do you need the Gluten Free option? (reset) Yes No
#9	Student First Name Student Last Name Teacher Name* Do you need the Gluten Free option? (reset) Yes No
#10	Student First Name Student Last Name Teacher Name* Do you need the Gluten Free option? (reset) Yes No

Special Lunch Allergy Disclaimer: The D102 PTO coordinates fundraisers with outside vendors but is not responsible for food preparation, cross-contamination, or allergic reactions. Participation is at your own risk. Parents/guardians are solely responsible for verifying that vendor ingredients are safe for their child's dietary needs.

Interested in helping out?

Volunteer to pass out special lunches at the link below:

D102 PTO Volunteer Form 2025-2026 School Year

We apologize but there will be no refunds provided for absences.