“Eating healthily at Mandoulides Schools” - Day Care Center, Kindergarten and Elementary School - April 2017

The Day Care Center, Kindergarten and Elementary School catering program will operate in collaboration with the company “ELENA’S GOURMET” for the 2016 - 2017 school year.

This participation form is automatically sent to “ELENA’S GOURMET”. Mandoulides Schools will simultaneously be informed about the participation form.

Please fill out a separate participation form for each one of your children.
Student’s information:
Student’s full name: Student’s full name: * First Last
Grade: *
Class:

Class: 1 2 3 4 5 6
Parent’s information:

(The following information is required for the private contract between the catering company and the parent)
Parent’s full name: Parent’s full name: * First Last
Identification card number: *
T.I.N.: *
D.F.S. (Directorate of Financial Services): *
Address: *
Phone number: *
Email: *
Please list any allergies, illness or sensitivities

(If your child doesn’t suffer from any allergies, illness or sensitivities please type the word “none”. Otherwise, list the foods your child is allergic or sensitive to) *
My child will use the catering service every day of the month: *

My child will use the catering service every day of the month: Yes No
Choose between: *

Choose between: Meal Menus Alternative Meal Menus
If this is your first time participating in the program, below you can register as a calendar week trial.

Choose as a trial week:
I choose the following days of the week:
1st week (03/04/2017 - 07/04/2017)

1st week (03/04/2017 - 07/04/2017) Monday Tuesday Wednesday Thursday Friday
2nd week (10/04/2017 - 12/04/2017)

2nd week (10/04/2017 - 12/04/2017) Monday Tuesday Wednesday
3rd week (18/04/2017 - 21/04/2017)

3rd week (18/04/2017 - 21/04/2017) Tuesday Wendesday Thursday Friday
4th week (24/04/2017 - 28/04/2017)

4th week (24/04/2017 - 28/04/2017) Monday Tuesday Wendesday Thursday Friday
Provide lunch on:

Provide lunch on: 12.30 14.15
Comments:
We would like to remind you that the participation form for each month must be filled out before the 20th of the previous month.

I hereby declare that the student above will use the catering program “Eating healthily at Mandoulides Schools” for the afore mentioned interval of the 2016-2017 school year, as described in the private contract which will be signed between the company “ELENA’S GOURMET” and the parent.
*

We would like to remind you that the participation form for each month must be filled out before the 20th of the previous month.

I hereby declare that the student above will use the catering program “Eating healthily at Mandoulides Schools” for the afore mentioned interval of the 2016-2017 school year, as described in the private contract which will be signed between the company “ELENA’S GOURMET” and the parent.
I agree
Type the letters you see in the image below.

“Eating healthily at Mandoulides Schools” - Day Care Center, Kindergarten and Elementary School - April 2017

“Eating healthily at Mandoulides Schools” - Day Care Center, Kindergarten and Elementary School - April 2017

Student’s information:

Parent’s information:

I choose the following days of the week: