Name of Student
Date of Request	Phone
Check meal(s) you are requesting and include date(s)
Sabboth Dinner*	Date of Dinner
Saturday Lunch	Date of Lunch
Saturday Dinner	Date of Dinner
Sunday Lunch	Date of Lunch
Sunday Dinner	Date of Dinner
Please indicate any special instructions (I am vegetarian. I am lactose intolerant. etc.)
Remember to pick up your meals at the Kosher Kitchen. *By reservation only