November 12-Impact Wednesday Registration

Name

This address will receive a confirmation email

Number of Adults Attending

Number of Children Attending (K-5th)

Number of Students Attending (6th-12th)

Number of Infant-PreK Needing Childcare

Waldo's Chicken

Entrees:
4 Chicken Tenders
OG Fried Chicken Sandwich
Pulled Rotisserie Chicken Sandwich
1/2lb Crispy Wings

Sides:
Mac & Cheese
Potato Wedges
Scratch Salad
Tomato Cucumber Salad
White Beans
Coleslaw
Collard Greens

Sauces:
Comeback (Sweet & Creamy w/Slight Kick)
Tender Sauce (Savory & Creamy w/Garlic & Black Pepper)
Honey Mustard
Buffalo
Ranch
BBQ
White BBQ

Please List Your Choices for Entree, Side & Sauce

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please make meal orders by Tuesday at noon.

November 12-Impact Wednesday Registration

Description

Please Fix the Following