Lunch Bunch Form

Sign up below or download the form and hand it in to your child's teacher.

Contact:  Jeanne Mueller, 973-540-1114, email

Child's Name*
Child's Class*
Lunch Bunch Days
Please enter each date your child will be attending lunch bunch. *
Parent/Guardian Name*
Home Phone*
Cell Phone*
Dismissal Information: At 1:00pm, please pick your child up from Room 1. Each child MUST be signed out. Payment will be accepted at dismissal.
Name of Person Picking Up Your Child*
Payment is due at dismissal: Pre Paid Cards: $75 for 5 lunches, $150 for 10 lunches, $15 CASH per lunch. Make Checks payable to PCNS.