Back-To-School Order Form



Instructions:

Please Note - For most efficient ordering, we encourage you to use this new online ordering system. If, however, you are more comfortable printing this form and delivering it, along with a check, to the school, please feel free to do so.

For Online Ordering:

  • Please use only ONE form per child.
  • Please enter quantity next to item you would like to order.
  • Your total will accumulate at the bottom
  • Print a copy of your confirmation for your records

For Paper Ordering:

  • Please print clearly and use ONE form per child.
  • Please enter quantity and dollar amount next to item you would like to order.
  • Enter total at the bottom.
  • Make a copy for your records and return the original with check made payable to SSDS to the Business Office at 125 Wells Avenue.

Student Information

Student Name

Grade & Section

Order Information

ITEM
DOLLAR AMOUNT
QUANTITY
Milk
Skim
$58.00
X  
Whole
$58.00
X  
Two Percent
$58.00
X  
Lactaid
$98.00
X  
Challah - Traditional
$168.00
X  
Challah - Whole Wheat
$196.00
X  
Turkey Tuesdays (Grades K-3)
$72.00
X  
Turkey Tuesdays (Grades 4-8)
$54.00
X  
Pizza (Grades K-3)
Choose your slice selection
 1 slice: $40.00
X  
 2 slice: $70.00
X  
 3 slice: $95.00
X  
Pizza (Grades 4-5)
Choose your slice selection
 1 slice: $72.50
X  
 2 slice: $145.00
X  
 3 slice: $217.50
X  
Pizza (Grades 6-7)
Choose your slice selection and add a side salad
 1 slice: $72.50
X  
 2 slice: $145.00
X  
 3 slice: $217.50
X  
 Add Side Salad: $29
X  
Pizza (Grade 8)
Choose your slice selection and add a side salad
 1 slice: $65
X  
 2 slice: $130
X  
 3 slice: $195
X  
 Add Side Salad: $26
X  
Chinese Lunch
(Grades 4-8)
$64.00
X  
Arba'ah Minim
$40.00
X  
Additional Roster
$5.00
X  
Geometer's Sketchpad (Grade 8)
$20.00
X  
Parent Association Support
$36
X  
$54
X  
$72
X  
TOTAL AMOUNT DUE