Today's Date * Required MM slash DD slash YYYY Start Date Needed for Bag Lunch * Required MM slash DD slash YYYY Last Date Needed for Bag Lunch * Required MM slash DD slash YYYY Name * Required Student ID * Required Email * Required Days of the week bag lunches are needed on * Required(this is the day that your lunch swipe will be pulled - but be sure to pick-up in Stav the day before you need your bag lunch meal) Monday Tuesday Wednesday Thursday Friday BEVERAGE SELECTIONBeverage Selection * RequiredSELECT FROM DROPDOWNBottled WaterFruit Juice (breakfast option only)Pepsi (Canned Soda)Diet Pepsi (Canned Soda)Cherry Pepsi (Canned Soda)Starry (Canned Soda)Root Beer (Canned Soda)Lemonade (Canned)BAG LUNCH SELECTIONall include composed salad, chips, whole fruit, cookie, and beverageBag Lunch Selection * RequiredSELECT FROM DROPDOWNEgg Salad SandwichWest Coast WrapThe Reggie Sandwich (turkey with onions)Turkey and Cheddar SandwichPBJ SandwichChicken Caesar SaladEgg Caesar SaladPlease note any additional comments here Δ