Lunch & Accessibility Form

Name(Required)

Email(Required)

Accessibility Requests

Dietary Requirements(Required)

Vegan

Vegetarian

Gluten Free

Dairy Free

Nope

Add any other dietary requests below.

Bread Type(Required)

Lettuce Wrap

Chopped Lettuce (salad)

Bread Type(Required)

Honey Whole Wheat

Farmhouse White

White/Wheat Swirl

Oregon Herb (everything seasoned)

Dakota (pumpkin, sunflower, millet, sesame whole wheat)

Lettuce Wrap

Chopped Lettuce (salad)

Bread Type(Required)

Oregon Herb (everything seasoned)

Lettuce Wrap

Chopped Lettuce (salad)

Sandwich Type(Required)

Turkey & Provolone (turkey, provolone, tomato, cucumber, lettuce, honey dijon)

Ham & Swiss (ham, swiss, tomato, cucumber, red onion, seasoned mayo)

Italian (pepperoni, ham, pepper jack, tomato, red onion, spinach, seasoned mayo)

Chicken Salad (diced chicken, seasoned mayo, cranberries, sweet & spicy pecans, lettuce)

Tuna Salad (tuna, seasoned mayo, lettuce, onion, tomato)

Egg Salad (VEGETARIAN: hard-boiled eggs, seasoned mayo)

Veggie & Hummus (VEGAN: homemade hummus, cucumber, tomato, red onion, shredded carrots, spinach)

Sandwich Type(Required)

Veggie & Hummus (VEGAN: homemade hummus, cucumber, tomato, red onion, shredded carrots, spinach)

Sandwich Type(Required)

Egg Salad (VEGETARIAN: hard-boiled eggs, seasoned mayo)

Veggie & Hummus (VEGAN: homemade hummus, cucumber, tomato, red onion, shredded carrots, spinach)

Chips(Required)

Miss Vickie’s Sea Salt kettle chips

Miss Vickie’s Salt & Vinegar kettle chips

Miss Vickie’s Smokehouse BBQ kettle chips

Miss Vickie’s Jalapeño kettle chips

Sunchips Harvest Cheddar chips

Cookie choice(Required)

Oatmeal Chocolate Chip

Cranberry White Chocolate

Beverage(Required)

Bottled Water

Coke

Diet Coke

Mountain Dew

Diet Mountain Dew

Lunch Selection and Accessibility