Charlotte Sports Center Half Day Lunch Application

Summer Camp Lunch Order Form

Items with asterisks are required.

Half Day Camp Lunch Order Form
Lunch is $5 per day and full payment is required with lunch orders. We request that you order lunch for all weeks of summer camp that your child will be attending on one form. However if necessary, lunch orders can be submitted weekly prior to the start of each week of camp. Drink is included with lunch and choices include water or lemonade/punch.
First Name*	Last Name*	Age*

All Lunches are $5.00 per day
	Wk 1 June 14-18	Wk 2 June 21-25	Wk 3 Jun 28 - Jul 2	Wk 4 July 5-9	Wk 5 July 12-16	Wk 6 July 19-23	Wk 7 July 26-30	Wk 8 Aug 2-6	Wk 9 Aug 9-13	Wk 10 Aug 16-20
Monday
Hot Dog, Fruit Cup, Chips & Drink
PB&J Uncrustable, Fruit Cup, Chips & Drink
Turkey/Cheese Lunchable, Fruit Cup, Chips & Drink
Tuesday
Hot Dog, Fruit Cup, Chips & Drink
PB&J Uncrustable, Fruit Cup, Chips & Drink
Turkey/Cheese Lunchable, Fruit Cup, Chips & Drink
Wednesday
Hot Dog, Fruit Cup, Chips & Drink
PB&J Uncrustable, Fruit Cup, Chips & Drink
Turkey/Cheese Lunchable, Fruit Cup, Chips & Drink
Thursday
Hot Dog, Fruit Cup, Chips & Drink
PB&J Uncrustable, Fruit Cup, Chips & Drink
Turkey/Cheese Lunchable, Fruit Cup, Chips & Drink
Friday
Hot Dog, Fruit Cup, Chips & Drink
PB&J Uncrustable, Fruit Cup, Chips & Drink
Turkey/Cheese Lunchable, Fruit Cup, Chips & Drink
Clear Form

Payment Information
Total Number of Lunches Ordered	Payment Enclosed (Total Lunches x $5.00 / Lunch)

Select Payment Type	Credit Card Number	Exp. Month	Exp. Year

Please print this page now (before pressing Submit) if you wish to keep a copy of your selections for your records. After you press Submit, your selections will not be displayed.

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