Hosted by St. Jacobs Home & School Association
Supported by the St. Jacobs Lions Club
Wednesday June 14th, 2017
5:00 – 6:45 pm
Free Cotton
Silent Auction
Candy
Free
Food
Freezies
Games
Fun
Food Order
Complete one order per family. On picnic day, pick up tickets at reception table
under student name listed below.
Please register to receive one free freezie per student/child.
Student name (Last, First):
Can you help supervise kids games?
Help clean up?
Contact name & Number:
Teacher’s Name:
# of Adults:
VOLUNTEERS
WE NEED YOU!!!
Room #:
# of Students:
Hamburgers
X $3.00 =
Hotdogs (Regular)
X $1.50 =
Chocolate Chip Cookies
X $1.50 =
Chips
X $1.00 =
Cold Drinks*
X $1.00 =
Please check the time that you would be available to help
out on picnic day. We will email you to confirm details of
where to meet and let you know how you can help.
Volunteer name(s):
Phone:
Email:
I can help with:
*Selection of juice, pop, and water.
Set up
3:45 – 5:00 pm
Food tickets 4:45 - 5:30/ 5:30-6:15pm
Total
Products may contain nuts or be produced in facility where nuts are present.
Please make cheques payable to St. Jacobs
Home & School Association or Cash
Games
4:45 – 5:45 pm
Games
5:45 – 6:45 pm
Clean up
6:45 – 8:00 pm
(exact amount please – no change will be provided)
ADVANCE ORDERS REQUIRED FOR FOOD PURCHASES. ORDER FORM DUE Thursday, JUNE 1st
Limited quantities available day of picnic.