<!DOCTYPE HTML PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">

<html xmlns="http://www.w3.org/1999/xhtml" >
<head id="Head1">
<meta http-equiv="X-UA-Compatible" content="IE=edge" />
<meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
<meta http-equiv="Content-Language" content="en" />

<meta property="og:image" content="https://w2.chabad.org/media/images/1180/dJID11805325.png" itemprop="image" width="150" height="150" />
<meta property="og:image:width" content="150" />
<meta property="og:image:height" content="150" />
<meta name="keywords" content="Hot,Lunch,Order,Form" />
<meta name="title" content="Hot Lunch Order Form - Chabad of Southlake" />
<meta property="og:type" content="website" />
<meta name="scope-aids" content="707265-707273-5009276-5014644-4396379" />
<meta name="article-keywords" content="2185-20429-6760-8495-21139-2170-2898" />
<meta name="scope-aid" content="707265" />
<meta name="scope-aid" content="707273" />
<meta name="scope-aid" content="5009276" />
<meta name="scope-aid" content="5014644" />
<meta name="scope-aid" content="4396379" />
<meta name="article-keyword" content="2185" />
<meta name="article-keyword" content="20429" />
<meta name="article-keyword" content="6760" />
<meta name="article-keyword" content="8495" />
<meta name="article-keyword" content="21139" />
<meta name="article-keyword" content="2170" />
<meta name="article-keyword" content="2898" />
<meta property="og:url" content="https://www.jewishsouthlake.com/templates/articlecco_cdo/aid/4396379/jewish/Hot-Lunch-Order-Form.htm" />
<meta property="twitter:card" content="summary_large_image" />
<meta property="twitter:site" content="@chabad" />
<meta property="og:title" content="Hot Lunch Order Form - Chabad of Southlake" /><link rel="canonical" href="https://www.jewishsouthlake.com/templates/articlecco_cdo/aid/4396379/jewish/Hot-Lunch-Order-Form.htm" />
<link rel="icon" type="image/png" href="https://www.jewishsouthlake.com/media/images/1180/dJID11805325.png" />
<link rel="Stylesheet" href="/css/fonts/font-awesome/font-awesome-5.css?v=2D6ABDDB" id="kfont-awesome" type="text/css"/>
<link rel="Stylesheet" href="/css/DefaultGrid.css?v=A13D74E8" id="kgrid" type="text/css"/>
<link rel="Stylesheet" href="/css/Elements.css?v=3A4C63F4" id="k6" type="text/css"/>
<link rel="Stylesheet" href="/css/vendor/ds/tokens/sites.css?v=21E88630" id="ksites-ds-css" type="text/css"/>
<link rel="Stylesheet" href="/css/new/main.css?v=BB63DD50" id="k7" type="text/css"/>
<link rel="Stylesheet" href="/css/old/global.css?v=43DDBA77" id="k2898" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/templates/forms/formCss2.css?v=AB6A2925" id="kFormCss" type="text/css"/>
<link rel="Stylesheet" href="/css/cco/templates/forms/themes/nova.css?v=87AD6957" id="kNova" type="text/css"/>
<link rel="Stylesheet" href="/css/bootstrap/grid.css?v=F4390F2B" id="kbootstrap4-grid" type="text/css"/>
<link rel="Stylesheet" href="/css/Library/reader-comments.css?v=8AB57D79" id="kCommentsStylesheet" type="text/css"/>
<link rel="Stylesheet" href="/css/inline/BookInfo.css?v=3D052243" id="kBookInfoCss" type="text/css"/>

<script>$q=[];$j=function(f){$q.push(f);}</script>
	
 
	
	<style type="text/css">
		body{margin:0;}
	</style>
	
	



<script>
	window.dataLayer = window.dataLayer || [];
	dataLayer.push({"event":"datalayer-initialized","page":{"numberOfComments":0,"publicationDate":"2019-05-26","primaryArticleId":4396379,"title":"","author":"","authorId":0,"contentLevel1":"My Site","contentLevel2":"Camp Gan Israel","contentLevel3":"Forms","contentLevel4":"Hot Lunch Order Form","siteName":"Chabad of Southlake"},"time":{"upcomingHoliday":"Rosh Hashanah","daysToUpcomingHoliday":27,"hebrewDate":"5786-06-03"}});
		dataLayer.push({ 'articleHierarchy': '-707265-707273-5009276-5014644-4396379-', 'keywords': '-k2898-k2170-k21139-k8495-k6760-k20429-k2185-', 'k': '-707265-707273-5009276-5014644-4396379--k2898-k2170-k21139-k8495-k6760-k20429-k2185-' });
	
</script>
<script>

(function(c,h,a,b,a,d){c[a]=c[a]||[];c[a].push({'gtm.start':
new Date().getTime(),event:'gtm.js'});var f=h.getElementsByTagName(b)[0],
j=h.createElement(b);j.async=true;
j.src='https://w6.chabad.org/mitzvah-tank.js';f.parentNode.insertBefore(j,f);
})(window,document,0,'script','dataLayer');</script>

	<!-- Start of StatCounter Code -->
	<script type="text/javascript">
	var sc_project = 3905797;var sc_partition = 47;var sc_invisible = 1;var sc_remove_link=1;var sc_security = "c3995732";var sc_https = 1;
	</script>
	<script type="text/javascript" src="https://secure.statcounter.com/counter/counter_xhtml.js" defer async></script>
	<noscript><img src="//c48.statcounter.com/counter.php?sc_project=3905797&amp;java=0&amp;security=c3995732&amp;invisible=1" border="0" /> </noscript>
	<!-- End of StatCounter Code -->


<!-- GetButton.io widget -->

<!-- /GetButton.io widget -->
<link rel="icon" type="image/png" href="https://w2.chabad.org/media/images/1180/dJID11805325.png" />
<link rel="stylesheet" href="https://w2.Chabad.org/images/Shluchim/minisites/themes/form-redesign/form-style.css?v=7/10/2026" />
<script type="text/javascript">
    (function () {
        var options = {
            facebook: "189147082991", // Facebook page ID
            whatsapp: "1 (817) 933-2977", // WhatsApp number
            call_to_action: "Message us", // Call to action
            button_color: "#FF6550", // Color of button
            position: "right", // Position may be 'right' or 'left'
            order: "facebook,whatsapp", // Order of buttons
        };
        var proto = document.location.protocol, host = "getbutton.io", url = proto + "//static." + host;
        var s = document.createElement('script'); s.type = 'text/javascript'; s.async = true; s.src = url + '/widget-send-button/js/init.js';
        s.onload = function () { WhWidgetSendButton.init(host, proto, options); };
        var x = document.getElementsByTagName('script')[0]; x.parentNode.insertBefore(s, x);
    })();
</script><title>
	Hot Lunch Order Form - Chabad of Southlake
</title></head>
<body class="lang_en dir_ltr cco_body form secure cco_templateless_page section_branch">
	
	
		<div width="100%" class="cco_templateless_template" style="z-index:100 !important;display:block !important;left:0px !important;top:0px !important;height:30px!important;width:100% !important;line-height:30px !important; position:relative !important; margin-bottom:0 !important; padding:0;text-indent: 25px;" align="Left"><a href="//www.JewishSouthLake.com" style="display:block!important;font-size:14px !important;">&laquo; Back to&nbsp;Chabad of Southlake</a></div>
	
	<div class="cco_templatelates_content">
		
	<div class="co_content_container clearfix local_content" id="co_content_container">
		<div class="clearfix">
			<!-- BEGIN HEADER --><style>

@import url("https://fonts.googleapis.com/css?family=Work+Sans:400,700");#co_video_container .co_body,.co_content_container{padding:0}body #tabContentMain .co_menu_item,body.cco_body #tabContentMain .co_menu_item{border-bottom:0}.co_menu_container #tabContentMain,.co_menu_container #tabContentPartner{border-bottom:0}#fb-root{position:absolute}.text-xs-left{text-align:left}.text-xs-right{text-align:right}.text-xs-center{text-align:center}.text-xs-justify{text-align:justify}.vertical-align{display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-align:center;-ms-flex-align:center;align-items:center}.vertical-align-xs{display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-align:center;-ms-flex-align:center;align-items:center}.align-self-center{margin-left:auto;margin-right:auto}.align-self-center-xs{margin-left:auto;margin-right:auto}.no-align-self{margin-left:0;margin-right:0}.no-align-self-xs{margin-left:0;margin-right:0}@media (min-width: 768px){.text-sm-left{text-align:left}.text-sm-right{text-align:right}.text-sm-center{text-align:center}.text-sm-justify{text-align:justify}.vertical-align-sm{display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-align:center;-ms-flex-align:center;align-items:center}.align-self-center-sm{margin-left:auto;margin-right:auto}.no-align-self-sm{margin-left:0;margin-right:0}}@media (min-width: 992px){.text-md-left{text-align:left}.text-md-right{text-align:right}.text-md-center{text-align:center}.text-md-justify{text-align:justify}.vertical-align-md{display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-align:center;-ms-flex-align:center;align-items:center}.align-self-center-md{margin-left:auto;margin-right:auto}.no-align-self-md{margin-left:0;margin-right:0}}@media (min-width: 1200px){.text-lg-left{text-align:left}.text-lg-right{text-align:right}.text-lg-center{text-align:center}.text-lg-justify{text-align:justify}.vertical-align-lg{display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-align:center;-ms-flex-align:center;align-items:center}.align-self-center-lg{margin-left:auto;margin-right:auto}.no-align-self-lg{margin-left:0;margin-right:0}}body{background:none !important;overflow-x:hidden;max-width:100vw}p,div{font-family:"Work Sans",sans-serif}.ct-container{margin-bottom:0;font-family:"Work Sans",sans-serif}.ct-container,.ct-container *{box-sizing:border-box}.ct-container h3{font-family:"Lora",sans-serif;text-transform:uppercase;font-size:52px;font-weight:bold}.ct-container h4,.ct-container .form-header{font-family:"Lora",sans-serif;text-transform:uppercase;font-size:24px}@media (max-width: 991px){.ct-container .fs-sm-hide-break{display:block;font-size:0}}@media (max-width: 767px){.ct-container .fs-xs-hide-break{display:block;font-size:0}}@media (max-width: 450px){.ct-container .fs-xxs-hide-break{display:block;font-size:0}}.ct-container .ct-content .form-submit-button,.ct-container .ct-content .form-submit-print,.ct-container .ct-content .form-submit-reset,.ct-container .fs-btn{margin-top:20px;background:#008759;border-radius:0;border:0;text-shadow:none;font-size:1.4em;transition:all 300ms;border-radius:0;padding:0.4em 1.1em;text-transform:uppercase;color:#fff;font-weight:bold}.ct-container .ct-content .form-submit-button .glyphicon,.ct-container .ct-content .form-submit-print .glyphicon,.ct-container .ct-content .form-submit-reset .glyphicon,.ct-container .fs-btn .glyphicon{font-size:2rem}.ct-container .ct-content .form-submit-button:hover,.ct-container .ct-content .form-submit-button:focus,.ct-container .ct-content .form-submit-button:active,.ct-container .ct-content .form-submit-print:hover,.ct-container .ct-content .form-submit-print:focus,.ct-container .ct-content .form-submit-print:active,.ct-container .ct-content .form-submit-reset:hover,.ct-container .ct-content .form-submit-reset:focus,.ct-container .ct-content .form-submit-reset:active,.ct-container .fs-btn:hover,.ct-container .fs-btn:focus,.ct-container .fs-btn:active{background:#005437;color:#fff}.ct-facebook-image{display:none}.ct-container{background:#1EA69C url("https://w2.chabad.org/media/images/1147/lCoR11478149.jpg");background-size:cover;background-position:center;padding-bottom:1px;position:relative;z-index:301;width:100vw;overflow:hidden;margin-top:-30px}.ct-container:before{background:url("https://w2.chabad.org/media/images/1147/OxcE11478136.png");background-size:contain;background-position:top left;background-repeat:no-repeat;position:absolute;top:0;left:0;width:240px;height:200px;content:" "}@media (max-width: 1600px){.ct-container:before{left:-20px;width:200px}}@media (max-width: 500px){.ct-container:before{left:-100px}}.ct-container:after{background:url("https://w2.chabad.org/media/images/1147/tHFD11478135.png");background-size:contain;background-position:top left;background-repeat:no-repeat;position:absolute;top:0;right:0;width:180px;height:160px;content:" "}@media (max-width: 1130px){.ct-container:after{top:-10px;width:100px}}.ct-container .ct-facebook{display:none}.ct-header-back{background-repeat:no-repeat;background-size:100%;background-position:top center;position:absolute;top:0px;width:100%;overflow:hidden}.ct-header,.ct-header-back{height:200px;z-index:300}.ct-header{position:relative;z-index:302;padding-top:0px;padding-top:21px}.ct-header .ct-illustration-rocket{position:absolute;top:5vw;right:5%;max-width:20%}@media (max-width: 1500px){.ct-header .ct-illustration-rocket{right:2%;top:7vw}}@media (max-width: 1400px){.ct-header .ct-illustration-rocket{top:10vw}}@media (max-width: 1130px){.ct-header .ct-illustration-rocket{right:-2%;top:12vw;max-width:22%}}@media (max-width: 800px){.ct-header .ct-illustration-rocket{display:none}}@media (min-width: 1131px){.ct-header:after{content:'\05D1"\05D4';color:#fff;opacity:0.6;font-family:"Work Sans",sans-serif;font-size:13px;position:absolute;top:10px;right:28px;display:inline-block}}.ct-header .ct-header-inner{width:90%;height:100%;margin:0 auto;max-width:1120px;position:relative}.ct-header .ct-header-inner .ct-logo-mobile{display:none}@media (max-width: 1130px){.ct-header .ct-header-inner .ct-logo-mobile{text-align:center;display:inline-block;position:absolute;left:50%;-webkit-transform:translateX(-50%);transform:translateX(-50%)}.ct-header .ct-header-inner .ct-logo-mobile img{display:inline-block;width:100px}}.ct-nav{right:0;position:absolute;top:50%;left:50%;-webkit-transform:translate(-50%, -50%);transform:translate(-50%, -50%);width:100%;text-align:center}.ct-nav .ct-split-nav{display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:center;-ms-flex-pack:center;justify-content:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center}.ct-nav .ct-split-nav a.parent[href*="3911857"],.ct-nav .ct-split-nav a.parent[href*="5009276"]{display:none}.ct-nav .ct-split-nav .ct-nav-logo{width:165px;height:165px;text-indent:-9999px;background:url("https://w2.chabad.org/media/images/1147/OnIE11478164.png");background-size:contain;background-repeat:no-repeat;background-position:center;margin-left:30px;margin-right:30px;-ms-flex-negative:0;flex-shrink:0}.ct-nav .ct-split-nav .ct-nav-left{text-align:right;width:50%}.ct-nav .ct-split-nav .ct-nav-left .sub_menu{text-align:center}.ct-nav .ct-split-nav .ct-nav-right{text-align:left;width:50%}.ct-nav .ct-split-nav .ct-nav-right .sub_menu{text-align:center}.ct-nav .ct-toggle-mobile-nav-label-inside-nav,.ct-nav .ct-toggle-mobile-nav-label-backoverlay,.ct-nav .ct-toggle-mobile-nav-label,.ct-nav .ct-toggle-mobile-nav{display:none}.ct-nav .ct-nav-inner .chabad_menu_content .navi{padding:0;margin:0}.ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent{float:none;margin:0;padding:0;list-style:none;display:inline-block;vertical-align:middle;font-size:0;position:relative}.ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent a.parent{color:#fff;font-family:"Work Sans",sans-serif;text-transform:uppercase;font-size:16px;letter-spacing:2px;padding:15px 11px 20px;display:block;text-decoration:none}.ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent a.parent:hover{text-decoration:none;color:#ffe89b}.ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent a.parent.selected{color:#FFD135}.ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent a.parent:focus{outline-color:#fff}.ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent a.parent[href*="3911857"],.ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent a.parent[href*="5009276"]{width:165px;height:165px;text-indent:-9999px;background:url("https://w2.chabad.org/media/images/1147/OnIE11478164.png");background-size:contain;background-position:center;margin-left:20px;margin-right:20px}@media (max-width: 1130px){.ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent a.parent[href*="3911857"],.ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent a.parent[href*="5009276"]{display:none}}.ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent .sub_menu{display:none;position:absolute;left:50%;-webkit-transform:translateX(-50%);transform:translateX(-50%);min-width:100%;background:#008759;padding-top:3px;padding-bottom:3px}.ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent .sub_menu ul{padding-left:0;width:100%}.ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent .sub_menu li a{font-size:16px;min-width:175px;display:inline-block;padding:4px 15px 7px;text-decoration:none;color:#fff}.ct-nav .ct-nav-inner .chabad_menu_content .navi .item.parent:hover .sub_menu{display:block}@media (max-width: 1130px){.ct-nav{position:absolute;-webkit-transform:none;transform:none;left:auto;top:0px;right:5px;display:inline-block;width:50px;float:right}.ct-nav .ct-split-nav{display:block}.ct-nav .ct-split-nav .ct-nav-logo{display:none}.ct-nav .ct-split-nav .ct-nav-left,.ct-nav .ct-split-nav .ct-nav-right{width:100%;text-align:left}.ct-nav .ct-split-nav .ct-nav-left .sub_menu,.ct-nav .ct-split-nav .ct-nav-right .sub_menu{text-align:left}.ct-nav .ct-nav-inner{text-align:left}.ct-nav .ct-nav-inner .ct-toggle-mobile-nav-label-backoverlay{width:100%;height:100%;position:fixed;top:0;left:0;background:rgba(30,166,156,0.9);display:none}.ct-nav .ct-nav-inner .ct-toggle-mobile-nav-label{display:block;cursor:pointer;padding:25px}.ct-nav .ct-nav-inner .ct-toggle-mobile-nav-label:after{content:"\f0c9";font-family:"FontAwesome";font-size:24px;color:#fff}.ct-nav .ct-nav-inner .ct-toggle-mobile-nav-label-inside-nav{display:block;text-align:right;cursor:pointer;padding:15px;float:right;margin-top:-10px;margin-right:-10px;margin-bottom:-10px}.ct-nav .ct-nav-inner .ct-toggle-mobile-nav-label-inside-nav:after{content:"\f00d";font-family:"FontAwesome";font-size:24px;color:#fff}.ct-nav .ct-nav-inner .ct-nav-links-holder{position:fixed;top:0;right:-340px;-webkit-overflow-scrolling:touch;background:#008759;padding:10px;margin:0;-webkit-transform:none;transform:none;width:300px;max-width:90%;height:100%;overflow:auto;transition:right 300ms;padding-bottom:200px}.ct-nav .ct-nav-inner .ct-nav-links-holder .navi .item.parent{width:100%;margin:0}.ct-nav .ct-nav-inner .ct-nav-links-holder .navi .item.parent a.parent{color:#fff}.ct-nav .ct-nav-inner .ct-nav-links-holder .navi .item.parent a.parent.selected{color:#FFD135}.ct-nav .ct-nav-inner .ct-nav-links-holder .navi .item.parent .sub_menu{display:block;position:relative;margin-bottom:12px;padding-top:0;padding-bottom:0}.ct-nav .ct-nav-inner .ct-nav-links-holder .navi .item.parent .sub_menu li a{font-size:13px;padding-left:10px}.ct-nav .ct-nav-inner .ct-toggle-mobile-nav:checked ~ .ct-toggle-mobile-nav-label-backoverlay{display:block}.ct-nav .ct-nav-inner .ct-toggle-mobile-nav:checked ~ .ct-nav-links-holder{right:0}}@media only screen and (min-width: 320px){.ct-content .content .co_body{margin-left:0;margin-right:0}}.ct-content #content_page_full,.ct-content #content_page{width:90%;margin:30px auto;padding:70px 70px 70px;max-width:940px;background:#fff;margin-bottom:0px;padding-bottom:500px}@media (max-width: 700px){.ct-content #content_page_full,.ct-content #content_page{padding:30px 30px}}@media (max-width: 1130px){.ct-content #content_page_full,.ct-content #content_page{margin-top:-65px}}@media (max-width: 700px){.ct-content #content_page_full,.ct-content #content_page{padding-bottom:70vw}}@media (max-width: 500px){.ct-content #content_page_full,.ct-content #content_page{padding-bottom:100vw}}.ct-content #content_page_full #cco_body,.ct-content #content_page #cco_body{min-height:400px;position:relative;z-index:1}.ct-content #content_page_full .content,.ct-content #content_page .content{overflow:visible}@media (max-width: 600px){.ct-content #content_page_full,.ct-content #content_page{width:100%}}.ct-content #content_page_full .form-header,.ct-content #content_page_full .form-header-group,.ct-content #content_page_full .SCHeading_1,.ct-content #content_page .form-header,.ct-content #content_page .form-header-group,.ct-content #content_page .SCHeading_1{font-size:28px;font-family:"Work Sans",sans-serif;font-weight:bold;color:#1EA69C;margin-bottom:10px;margin-top:25px}.ct-content #content_page_full .form-header:first-child,.ct-content #content_page_full .form-header-group:first-child,.ct-content #content_page_full .SCHeading_1:first-child,.ct-content #content_page .form-header:first-child,.ct-content #content_page .form-header-group:first-child,.ct-content #content_page .SCHeading_1:first-child{margin-top:0}.ct-content #content_page_full .form-header h2,.ct-content #content_page_full .SCHeading_2,.ct-content #content_page .form-header h2,.ct-content #content_page .SCHeading_2{font-size:22px;font-family:"Work Sans",sans-serif;font-weight:bold;color:#52CDC7;margin-bottom:5px}.ct-content #content_page_full .form-header h2:first-child,.ct-content #content_page_full .SCHeading_2:first-child,.ct-content #content_page .form-header h2:first-child,.ct-content #content_page .SCHeading_2:first-child{margin-top:0}.ct-content #content_page_full .article-header__title,.ct-content #content_page .article-header__title{font-size:35px;font-family:"Work Sans",sans-serif;font-weight:bold;color:#008759}.ct-content #content_page_full .form-header-group,.ct-content #content_page .form-header-group{font-size:18px}.ct-content #content_page_full p,.ct-content #content_page p{line-height:140%;font-size:16px;font-family:"Work Sans",sans-serif}.ct-content #content_page_full,.ct-content #content_page_full p,.ct-content #content_page_full ul,.ct-content #content_page_full li,.ct-content #content_page,.ct-content #content_page p,.ct-content #content_page ul,.ct-content #content_page li{color:#333;font-family:"Work Sans",sans-serif}.ct-content #content_page_full img,.ct-content #content_page img{max-width:100%}.ct-content #content_page_full .ct-right-photo,.ct-content #content_page .ct-right-photo{border:2px solid;margin-left:25px}@media (max-width: 500px){.ct-content #content_page_full .ct-right-photo,.ct-content #content_page .ct-right-photo{display:block;margin:5px auto 20px;float:none}}.ct-content #content_page_full .ct-center-small .SCHeading_1,.ct-content #content_page .ct-center-small .SCHeading_1{margin-bottom:5px}@media (max-width: 500px){.ct-content #content_page_full .ct-center-small,.ct-content #content_page .ct-center-small{text-align:center}}.ct-content label{font-weight:normal}.ct-content .form-label-left label{font-weight:bold}.ct-content .form-header-group,.ct-content .form-line{padding-left:0;padding-right:0;margin-left:0;margin-right:0;border:none}.ct-content .form-all .ct-page-header{margin-top:-15px;margin-left:-73px;margin-right:-73px;width:calc(100% + 146px);margin-bottom:50px}.mobile .ct-content .form-all .ct-page-header{margin-top:-22px}@media (max-width: 700px){.ct-content .form-all .ct-page-header{margin-left:-33px;margin-right:-33px;width:calc(100% + 66px);margin-bottom:20px}}@media only screen and (max-device-width: 550px) and (max-width: 550px){.ct-content .form-section,.ct-content .form-section-closed{margin:0}}.ct-content .article_index .item{background:none}.ct-content .article_index .item .inner{width:100%}.ct-content .article_index .item .inner .title,.ct-content .article_index .item .inner .title a{color:#008759}.ct-content #MoreInSection{display:none}@-webkit-keyframes pulsed{from{background:#FFD135;box-shadow:0 0 0 1px #ffdd68}50%{background:transparent;box-shadow:0 0 0 4px #ffdd68}to{background:#FFD135;box-shadow:0 0 0 1px #ffdd68}}@keyframes pulsed{from{background:#FFD135;box-shadow:0 0 0 1px #ffdd68}50%{background:transparent;box-shadow:0 0 0 4px #ffdd68}to{background:#FFD135;box-shadow:0 0 0 1px #ffdd68}}.ct-home{width:100%;margin:0px auto;text-align:center;max-width:1100px;position:relative;z-index:3}@media (max-width: 1550px){.ct-home{min-height:0}}@media (min-width: 1550px){.ct-home{min-height:45vw}}@media (min-width: 1798px){.ct-home{min-height:814px}}@media (max-width: 800px){.ct-home{z-index:300}}.ct-home .ct-home-content{position:relative}@-webkit-keyframes popinanimation1{0%{-webkit-transform:scale(0.7);transform:scale(0.7);opacity:0}100%{-webkit-transform:scale(1);transform:scale(1);opacity:1}}@keyframes popinanimation1{0%{-webkit-transform:scale(0.7);transform:scale(0.7);opacity:0}100%{-webkit-transform:scale(1);transform:scale(1);opacity:1}}@-webkit-keyframes popinanimation2{0%, 40%{-webkit-transform:scale(0.7);transform:scale(0.7);opacity:0}100%{-webkit-transform:scale(1);transform:scale(1);opacity:1}}@keyframes popinanimation2{0%, 40%{-webkit-transform:scale(0.7);transform:scale(0.7);opacity:0}100%{-webkit-transform:scale(1);transform:scale(1);opacity:1}}@-webkit-keyframes popinanimation3{0%, 50%{-webkit-transform:scale(0.7);transform:scale(0.7);opacity:0}100%{-webkit-transform:scale(1);transform:scale(1);opacity:1}}@keyframes popinanimation3{0%, 50%{-webkit-transform:scale(0.7);transform:scale(0.7);opacity:0}100%{-webkit-transform:scale(1);transform:scale(1);opacity:1}}@-webkit-keyframes popinanimation4{0%, 60%{-webkit-transform:scale(0.7);transform:scale(0.7);opacity:0}100%{-webkit-transform:scale(1);transform:scale(1);opacity:1}}@keyframes popinanimation4{0%, 60%{-webkit-transform:scale(0.7);transform:scale(0.7);opacity:0}100%{-webkit-transform:scale(1);transform:scale(1);opacity:1}}@-webkit-keyframes popinanimation5{0%, 70%{-webkit-transform:scale(0.7);transform:scale(0.7);opacity:0}100%{-webkit-transform:scale(1);transform:scale(1);opacity:1}}@keyframes popinanimation5{0%, 70%{-webkit-transform:scale(0.7);transform:scale(0.7);opacity:0}100%{-webkit-transform:scale(1);transform:scale(1);opacity:1}}@media (max-width: 700px){.ct-home .ct-home-content .ct-home-bubble span{color:#F9D24E;font-size:1px;position:absolute;padding:60px;z-index:9999}.ct-home .ct-home-content .ct-home-bubble strong::after{content:"More Info";white-space:pre;font-size:12px;margin-top:3%;display:block;text-decoration:underline}}.ct-home .ct-home-content .ct-home-bubble{display:block;position:absolute;top:0px;right:22%;z-index:1;-webkit-animation:popinanimation5 1050ms;animation:popinanimation5 1050ms}@media (max-width: 1150px){.ct-home .ct-home-content .ct-home-bubble{top:-60px;right:18%}}@media (max-width: 800px){.ct-home .ct-home-content .ct-home-bubble{top:-80px;right:6%}}.ct-home .ct-home-content .ct-home-bubble p{margin:0;padding:0}.ct-home .ct-home-content .ct-home-bubble a{-webkit-animation-duration:1s;animation-duration:1s;-webkit-animation-name:pulsed;animation-name:pulsed;-webkit-animation-iteration-count:infinite;animation-iteration-count:infinite;position:relative;border-radius:50%;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:center;-ms-flex-pack:center;justify-content:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;-webkit-box-orient:vertical;-webkit-box-direction:normal;-ms-flex-direction:column;flex-direction:column;padding:8px 8px;width:140px;height:140px;color:#333;font-size:13px;text-align:center;text-decoration:none}.ct-home .ct-home-content .ct-home-bubble a:before{width:96%;height:96%;position:absolute;left:2%;top:2%;content:" ";border-radius:50%;z-index:-1;background:#FFD135}@media (max-width: 700px){.ct-home .ct-home-content .ct-home-bubble a{font-size:15px;width:120px;height:120px;padding:27px 6px}}@media (max-width: 420px){.ct-home .ct-home-content .ct-home-bubble a{font-size:14px;width:105px;height:105px;padding:24px 5px}}.ct-home .ct-home-content .ct-home-bubble a strong{display:block;margin-bottom:5px}.ct-home .ct-home-content .ct-home-title{max-width:85%;margin-top:30px;-webkit-animation:popinanimation1 550ms;animation:popinanimation1 550ms;margin-bottom:10px}#co_content_container .ct-home .ct-home-content .ct-home-title{max-width:85%}@media (max-width: 1130px){.ct-home .ct-home-content .ct-home-title{margin-top:-40px}}.ct-home .ct-home-content .ct-home-text{-webkit-animation:popinanimation2 750ms;animation:popinanimation2 750ms;margin-bottom:40px;max-width:660px;width:85%;margin:0px auto 36px}.ct-home .ct-home-content .ct-home-text,.ct-home .ct-home-content .ct-home-text p{color:#fff;font-size:23px;font-family:"Work Sans",sans-serif;line-height:130%}@media (max-width: 650px){.ct-home .ct-home-content .ct-home-text,.ct-home .ct-home-content .ct-home-text p{font-size:20px}}.ct-home .ct-home-content .ct-home-text p{margin:0;padding:0}.ct-home .ct-home-content .ct-home-buttons p{display:inline-block;margin:0;padding:0}@media (max-width: 650px){.ct-home .ct-home-content .ct-home-buttons p{display:block;text-align:center}.ct-home .ct-home-content .ct-home-buttons p a{display:inline-block;width:auto;min-width:50%}}.ct-home .ct-home-content .ct-home-buttons a{display:inline-block;margin:0 10px 10px;color:#333;text-decoration:none;border:2px solid;border-color:#F9D24E;background:#F9D24E;text-transform:uppercase;font-weight:bold;min-width:180px;border-radius:30px;padding:10px 30px;font-size:24px;transition:-webkit-transform 300ms;transition:transform 300ms;-webkit-transform:scale(0.98);transform:scale(0.98);-webkit-font-smoothing:antialiased;position:relative;-webkit-animation:popinanimation4 1300ms;animation:popinanimation4 1300ms}.ct-home .ct-home-content .ct-home-buttons a:focus,.ct-home .ct-home-content .ct-home-buttons a:hover{-webkit-transform:scale(1.04);transform:scale(1.04)}.ct-home .ct-home-content .ct-home-buttons a:focus{outline-color:#fff}.ct-home .ct-home-content .ct-home-buttons a:active{top:-1px}@media (max-width: 650px){.ct-home .ct-home-content .ct-home-buttons a{font-size:20px;padding:14px 27px;margin:0 auto 10px;display:block;width:50%}}.ct-home .ct-home-content .ct-home-buttons a:first-child{background:none;color:#fff;border-color:#fff;-webkit-animation:popinanimation3 1100ms;animation:popinanimation3 1100ms}.ct-home .ct-home-content .filled-button a,.ct-home .ct-home-content .filled-button a:first-child{border-color:#F9D24E;background:#F9D24E;color:#333}@media (max-width: 1650px){.ct-home .ct-home-content{margin-bottom:50px}}@media (max-width: 1550px){.ct-home .ct-home-content{margin-bottom:380px}}@media (max-width: 1250px){.ct-home .ct-home-content{margin-bottom:400px}}@media (max-width: 1000px){.ct-home .ct-home-content{margin-bottom:430px}}@media (max-width: 850px){.ct-home .ct-home-content{margin-bottom:450px}}@media (max-width: 700px){.ct-home .ct-home-content{margin-bottom:80vw}}@media (max-width: 500px){.ct-home .ct-home-content{margin-bottom:110vw}}.ct-footer-illustrations{position:absolute;bottom:-1px;width:100%;pointer-events:none}.ct-footer-illustrations img{position:absolute}.ct-footer-illustrations .ct-footer-illustration-carousel{left:0;bottom:8vw;max-width:36%}@media (max-width: 1650px){.ct-footer-illustrations .ct-footer-illustration-carousel{left:-3vw}}@media (max-width: 1560px){.ct-footer-illustrations .ct-footer-illustration-carousel{left:-7vw}}@media (max-width: 1500px){.ct-footer-illustrations .ct-footer-illustration-carousel{left:-12vw}}@media (max-width: 1400px){.ct-footer-illustrations .ct-footer-illustration-carousel{left:-13vw}}@media (max-width: 1300px){.ct-footer-illustrations .ct-footer-illustration-carousel{left:-17vw}}@media (max-width: 700px){.ct-footer-illustrations .ct-footer-illustration-carousel{max-width:40%;bottom:4vw;left:0}}@media (max-width: 500px){.ct-footer-illustrations .ct-footer-illustration-carousel{max-width:55%}}.ct-footer-illustrations .ct-footer-illustration-shabbat{left:11%;bottom:0%;max-width:30%}@media (max-width: 1000px){.ct-footer-illustrations .ct-footer-illustration-shabbat{left:20%;bottom:2%}}@media (max-width: 700px){.ct-footer-illustrations .ct-footer-illustration-shabbat{left:32%;bottom:2%}}@media (max-width: 500px){.ct-footer-illustrations .ct-footer-illustration-shabbat{display:none}}.ct-footer-illustrations .ct-footer-illustration-hill-left{left:0;bottom:3%;max-width:75%}@media (max-width: 500px){.ct-footer-illustrations .ct-footer-illustration-hill-left{bottom:2vw}}.ct-footer-illustrations .ct-footer-illustration-hill-right{right:0;bottom:2.2vw;max-width:75%}@media (max-width: 500px){.ct-footer-illustrations .ct-footer-illustration-hill-right{bottom:2vw}}.ct-footer-illustrations .ct-footer-illustration-rock-small{right:22%;bottom:3%;max-width:14%}@media (max-width: 1000px){.ct-footer-illustrations .ct-footer-illustration-rock-small{display:none}}.ct-footer-illustrations .ct-footer-illustration-rock-large{right:0%;bottom:6vw;max-width:18%}@media (max-width: 1300px){.ct-footer-illustrations .ct-footer-illustration-rock-large{display:none}}.ct-footer-illustrations .ct-footer-illustration-soccer-boy{right:6%;bottom:16vw;max-width:22%}@media (max-width: 1600px){.ct-footer-illustrations .ct-footer-illustration-soccer-boy{bottom:20vw;right:2%}}@media (max-width: 1300px){.ct-footer-illustrations .ct-footer-illustration-soccer-boy{bottom:27vw}}@media (max-width: 700px){.ct-footer-illustrations .ct-footer-illustration-soccer-boy{bottom:22vw;max-width:30%;right:2%}}@media (max-width: 500px){.ct-footer-illustrations .ct-footer-illustration-soccer-boy{max-width:37%;bottom:20vw}}.ct-footer-illustrations .ct-footer-illustration-tennis-girl{right:8%;bottom:2%;max-width:22%}@media (max-width: 800px){.ct-footer-illustrations .ct-footer-illustration-tennis-girl{display:none}}.ct-footer-illustrations .ct-footer-illustration-swim{right:32%;bottom:3vw;max-width:20%}@media (max-width: 1500px){.ct-footer-illustrations .ct-footer-illustration-swim{right:42%}}@media (max-width: 1100px){.ct-footer-illustrations .ct-footer-illustration-swim{display:none}}.ct-footer-illustrations .ct-footer-illustration-grass-small{right:43%;bottom:1.8vw;max-width:10%}@media (max-width: 1500px){.ct-footer-illustrations .ct-footer-illustration-grass-small{right:53%;bottom:1.6vw}}@media (max-width: 1100px){.ct-footer-illustrations .ct-footer-illustration-grass-small{display:none}}.ct-footer-illustrations .ct-footer-illustration-bottom-grass{left:50%;bottom:0px;width:101%;min-width:1500px;-webkit-transform:translatex(-50%);transform:translatex(-50%)}@media (max-width: 500px){.ct-footer-illustrations .ct-footer-illustration-bottom-grass{min-width:1000px}}.ct-footer{background:#008759;text-align:center;color:#ffffff;font-size:12px;padding-top:20px}.ct-footer .ct-back-to{margin-bottom:20px;font-size:16px;display:block}.ct-footer .extra-footer{display:none}#co_content_container .bottom_margin{margin-bottom:0}#lightbox-wrapper{z-index:99999}#lightbox-wrapper #lightbox{background-color:rgba(0,0,0,0.93)}#BodyContainer,#BodyContainer .footer{width:100%;text-align:center;overflow:hidden}#BodyContainer .footer{margin-left:0;padding:0 40px;background:#008759;color:#ffffff;position:relative;z-index:-1}#BodyContainer .footer .site-by{display:none}#BodyContainer .footer .cs-back-to{margin-bottom:10px}#BodyContainer .footer.g960{float:none;width:100%;display:block;padding-left:0px;padding-right:0px}.mobile #BodyContainer .footer{float:left;overflow:hidden}#BodyContainer .footer .poweredby{padding-top:15px;padding-bottom:18px;padding-left:30px;padding-right:30px}#BodyContainer .footer .poweredby,#BodyContainer .footer .poweredby b{font-family:"Work Sans",sans-serif;font-weight:normal}#BodyContainer .footer .poweredby b{font-size:12px}#BodyContainer .footer a{color:#ffffff;text-decoration:underline}#BodyContainer .footer a:focus{outline-color:#fff}p.SCHeading_1{font-size:22px}p.SCHeading_2{font-size:18px}
</style>


<meta name="viewport" content="width=device-width, initial-scale=1">
<meta charset="utf-8">
<meta name="theme-color" content="#1EA49D">
<div class="ct-container">
<img src="https://w2.chabad.org/media/images/1121/GwsK11219458.jpg" class="ct-facebook" />
<div class="ct-header-back">
&#160;
</div>
<div class="ct-header">

<img src="https://w2.chabad.org/media/images/1147/LFMF11478151.png" class="ct-illustration-rocket" />

<div class="ct-header-inner">
<div class="ct-logo-mobile ct-logo-shadow">


<a href="/5009276" class="ct-logo">
<img src="https://w2.chabad.org/media/images/1147/OnIE11478164.png" /></a>
</div>

<div class="ct-nav">
<div class="ct-nav-inner">
<input type="checkbox" class="ct-toggle-mobile-nav" id="ToggleMobileNav" />
<label for="ToggleMobileNav" class="ct-toggle-mobile-nav-label-backoverlay"></label>
<label for="ToggleMobileNav" class="ct-toggle-mobile-nav-label">  &#160;
</label>
<div class="ct-nav-links-holder" id="menu-overlay">
<label for="ToggleMobileNav" class="ct-toggle-mobile-nav-label-inside-nav"></label>

<div id="navigation" class="chabad_navigator_bar">
<div class="chabad_menu_content">
<ul id="menu" class="navi">
<li class="item parent">
<a href="/article.asp?aid=5009276" class="parent">Home</a>
|
</li>
<li class="item parent arrow">
<a href="/article.asp?aid=3202519" class="parent arrow">About</a>
<div class="sub_menu">
<ul>
<li class="item first">
<a href="/article.asp?aid=4261592">Our Staff</a>
</li>
<li class="item last">
<a href="/article.asp?aid=3223331">FAQ</a>
</li>
</ul>
</div>
|
</li>
<li class="item parent arrow">
<a href="/article.asp?aid=1767552" class="parent arrow">Dates & Rates</a>
<div class="sub_menu">
<ul>
<li class="item first last">
<a href="/article.asp?aid=5009737">Lackman Family Scholarship Fund</a>
</li>
</ul>
</div>
|
</li>
<li class="item parent arrow">
<a href="/article.asp?aid=1094390" class="parent arrow">Program</a>
<div class="sub_menu">
<ul>
<li class="item first">
<a href="/article.asp?aid=2228808">Camp Calendar </a>
</li>
<li class="item">
<a href="/article.asp?aid=5009719">Fun Shops</a>
</li>
<li class="item last">
<a href="/article.asp?aid=4261580">Special Activities</a>
</li>
</ul>
</div>
|
</li>
<li class="item parent arrow">
<a href="/article.asp?aid=5012232" class="parent arrow">Registration</a>
<div class="sub_menu">
<ul>
<li class="item first last">
<a href="/article.asp?aid=4321207">CIT Application Form</a>
</li>
</ul>
</div>
|
</li>
<li class="item parent arrow selected">
<a href="/article.asp?aid=5014644" class="parent arrow selected">Forms</a>
<div class="sub_menu">
<ul>
<li class="item first">
<a href="/article.asp?aid=3232278">Lackman Family Scholarship Fund Application</a>
</li>
<li class="item selected">
<a href="/article.asp?aid=4396379">Hot Lunch Order Form</a>
</li>
<li class="item">
<a href="/article.asp?aid=5564723">CGI Shabbat Dinner</a>
</li>
<li class="item last">
<a href="/article.asp?aid=5148613">Forms 2026</a>
</li>
</ul>
</div>
|
</li>
<li class="item parent">
<a href="/article.asp?aid=2260232" class="parent">Photos</a>
</li>

</ul>
</div>
</div>



</div>

</div>
</div>

</div>

</div>

<div class="ct-content-wrapper">
<div class="ct-content content_full_width">          
<div detached="true" type="static" id="ContentArea" name="content_area" actions="edit,delete" class="chabad_left_column"><div id="content_page_full" class="content_page_full"><!-- END HEADER -->
			
			
			<div class="clearfix bh mobile-only align_right">ב"ה</div>
			
				<div class="master-content-wrapper " >
					

<header class="article-header cf ">
	
	
			<h1 class="article-header__title js-article-title js-page-title">Hot Lunch Order Form</h1>
		
			<div>
				
			</div>
		
</header>
				</div>
			
			<div class="body_wrapper clearfix co_body">
				<div class="" id="co_body_container">
					
					<div id="ContentBody">
						
						
							<div class="content-area-parent no_margin">
								
	<div id="cco_body">
		<div class="content  no_margin no_overflow" id="co_content_container">
			
			
	

	<article class="content js-content" >
	


		<div class="notice">
			<div class="h1">This form is currently closed.</div>
		</div>
	<div id="formContainer"><div class='has-inactive-form'><script type="text/javascript">var defaultCurrency = { value: 'USD', symbol: '$'};
$j(function(){
window.multiplier = 0;
window.formJson = Object.extend([{"form_height":605,"3_text":"\u003cp style=\"text-align: justify;\"\u003e\u003cspan style=\"color: rgb(0, 128, 128); font-size: 18px; text-align: justify;\"\u003e\u0026bull;\u0026#160;Cost of Lunch is $8 per day, per child.\u003c/span\u003e\u003c/p\u003e\n\n\u003cp style=\"text-align: justify;\"\u003e\u003cspan style=\"font-size: 18px; color: rgb(0, 128, 128);\"\u003e\u0026bull;\u0026#160;Please fill out a separate form for each child.\u003c/span\u003e\u003c/p\u003e\n\n\u003cp style=\"text-align: justify;\"\u003e\u003cspan style=\"font-size: 18px; color: rgb(0, 128, 128);\"\u003e\u0026bull;\u0026#160;Orders must be in before the week begins.\u0026#160;\u0026#160;\u003c/span\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 18px; color: rgb(0, 128, 128);\"\u003eNo same day orders.\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\n\u003cp style=\"text-align: justify;\"\u003e\u003cspan style=\"font-size: 18px; color: rgb(0, 128, 128);\"\u003e\u0026bull;\u0026#160;If you have any questions please call 8174511171 or email camp@jewishsouthlake.com\u003c/span\u003e\u003c/p\u003e\n","3_name":"doubleclickTo","3_qid":3,"3_type":"control_text","3_order":1,"4_text":"Hot Lunch Menu","4_subHeader":"","4_headerType":"Small","4_name":"clickTo4","4_qid":4,"4_type":"control_head","4_order":2,"7_text":"\u003cp style=\"text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 18px; color: rgb(0, 128, 128);\"\u003eMonday:\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-size: 18px; color: rgb(0, 128, 128);\"\u003e\u0026#160; Hot Dog, Bun, French Fries, Ketchup Packet,\u0026#160; Snack,* Fruit** (Second Hot Dog and Bun available for $2.5)\u003c/span\u003e\u003c/p\u003e\n\n\u003cp style=\"text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 18px; color: rgb(0, 128, 128);\"\u003eTuesdays \u0026amp; Thursdays:\u0026#160;\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-size: 18px; color: rgb(0, 128, 128);\"\u003e (Trip Days): Bagel with Tuna or Cream Cheese, Snack,* Fruit**\u0026#160;(Second Bagel available for $2.5)\u003c/span\u003e\u003c/p\u003e\n\n\u003cp style=\"text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 18px; color: rgb(0, 128, 128);\"\u003eWednesday:\u0026#160;\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-size: 18px; color: rgb(0, 128, 128);\"\u003e Homemade Mac + Cheese, Sliced Cucumbers, Baby Carrots, Snack,* Fruit**\u003c/span\u003e\u003c/p\u003e\n\n\u003cp style=\"text-align: justify;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 18px; color: rgb(0, 128, 128);\"\u003eFriday:\u0026#160;\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-size: 18px; color: rgb(0, 128, 128);\"\u003e Fish Sticks, Rice, Dinner Roll, Green Beans, Snack,* Fruit**\u0026#160;\u0026#160;\u003c/span\u003e\u003c/p\u003e\n\n\u003cp style=\"text-align: justify;\"\u003e\u003cem\u003e\u003cspan style=\"color: rgb(0, 128, 128); font-size: 14px;\"\u003e*For example: small bag of chips, mini cookies or animal crackers.\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e\n\n\u003cp style=\"text-align: justify;\"\u003e\u003cem\u003e\u003cspan style=\"color: rgb(0, 128, 128); font-size: 14px;\"\u003e** For example: individually packed sliced apples, orange, banana or fruit cup.\u0026#160;\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e\n","7_name":"doubleclickTo7","7_qid":7,"7_type":"control_text","7_order":3,"5_text":"Parent Name","5_message":"","5_labelAlign":"Auto","5_required":"Yes","5_prefix":"No","5_suffix":"No","5_middle":"No","5_description":"","5_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"5_readonly":"No","5_name":"fullName","5_qid":5,"5_type":"control_fullname","5_order":4,"19_text":"Parent Phone Number","19_message":"","19_labelAlign":"Auto","19_required":"Yes","19_validation":"None","19_countryCode":"No","19_inputMask":"disable","19_inputMaskValue":"(###) ###-####","19_description":"","19_sublabels":{"country":"Country Code","area":"Area Code","phone":"Phone Number","full":"Phone Number"},"19_readonly":"No","19_name":"phoneNumber","19_qid":19,"19_type":"control_phone","19_order":5,"6_receivesReceipts":"No","6_text":"Parent E-mail","6_message":"","6_labelAlign":"Auto","6_required":"Yes","6_size":30,"6_validation":"Email","6_maxsize":"","6_defaultValue":"","6_subLabel":"","6_hint":" ","6_description":"","6_confirmation":"No","6_confirmationHint":"Confirm Email","6_readonly":"No","6_name":"email","6_qid":6,"6_type":"control_email","6_order":6,"20_text":"Camper Name","20_message":"","20_labelAlign":"Auto","20_required":"Yes","20_prefix":"No","20_suffix":"No","20_middle":"No","20_description":"","20_sublabels":{"prefix":"Prefix","first":"First Name","middle":"Middle Name","last":"Last Name","suffix":"Suffix"},"20_readonly":"No","20_name":"fullName20","20_qid":20,"20_type":"control_fullname","20_order":7,"15_text":"Week 1","15_message":"","15_labelAlign":"Auto","15_required":"No","15_options":"Monday|(Monday Extra Hot Dog)|Tuesday|(Tuesday Extra Bagel)|Wednesday|Thursday|(Thursday Extra Bagel)|Friday","15_special":"None","15_allowOther":"No","15_otherText":"Other","15_calculateOther":"No","15_spreadCols":"1","15_selected":"","15_minSelection":"","15_maxSelection":"","15_description":"","15_name":"input15","15_qid":15,"15_type":"control_checkbox","15_order":8,"15_pricing":"8|2.50|8|2.50|8|8|2.50|8","18_text":"Week 2","18_message":"","18_labelAlign":"Auto","18_required":"No","18_options":"Monday|(Monday Extra Hot Dog)|Tuesday|(Tuesday Extra Bagel)|Wednesday|Thursday|(Thursday Extra Bagel)|Friday","18_special":"None","18_allowOther":"No","18_otherText":"Other","18_calculateOther":"No","18_spreadCols":"1","18_selected":"","18_minSelection":"","18_maxSelection":"","18_description":"","18_name":"input18","18_qid":18,"18_type":"control_checkbox","18_order":9,"18_pricing":"8|2.50|8|2.50|8|8|2.50|8","16_text":"Week 3","16_message":"","16_labelAlign":"Auto","16_required":"No","16_options":"Monday|(Monday Extra Hot Dog)|Tuesday|(Tuesday Extra Bagel)|Wednesday|Thursday|(Thursday Extra Bagel)|Friday","16_special":"None","16_allowOther":"No","16_otherText":"Other","16_calculateOther":"No","16_spreadCols":"1","16_selected":"","16_minSelection":"","16_maxSelection":"","16_description":"","16_name":"input16","16_qid":16,"16_type":"control_checkbox","16_order":10,"16_pricing":"8|2.50|8|2.50|8|8|2.50|8","17_text":"Week 4","17_message":"","17_labelAlign":"Auto","17_required":"No","17_options":"Monday|(Monday Extra Hot Dog)|Tuesday|(Tuesday Extra Bagel)|Wednesday|Thursday|(Thursday Extra Bagel)|Friday","17_special":"None","17_allowOther":"No","17_otherText":"Other","17_calculateOther":"No","17_spreadCols":"1","17_selected":"","17_minSelection":"","17_maxSelection":"","17_description":"","17_name":"input17","17_qid":17,"17_type":"control_checkbox","17_order":11,"17_pricing":"8|2.50|8|2.50|8|8|2.50|8","9_labelAlign":"Auto","9_text":"Total","9_partialPayEnabled":"No","9_partialPayType":"dollar","9_partialPayMinimum":0,"9_required":"No","9_offsetGiftEnabled":"Yes","9_offsetGift":3,"9_name":"total","9_qid":9,"9_type":"control_totalamount","9_order":12,"10_text":"Payment","10_message":"","10_labelAlign":"Auto","10_required":"Yes","10_duplicatable":false,"10_selectedCountry":"","10_description":"","10_sublabels":{"cc_firstName":"First Name","cc_lastName":"Last Name","cc_type":"Credit Card Type","cc_number":"Credit Card Number","cc_ccv":"Security Code","cc_nameOnCard":"Name on Card","cc_IdNumber":"Israel Identity Number","cc_exp_month":"Expiration Month","cc_exp_year":"Expiration Year","eCheck_bankName":"Bank Name","eCheck_routingNumber":"Routing Number","eCheck_accountNumber":"Account Number","eCheck_accountType":"Account Type","addr_line1":"Street Address","addr_line2":"Street Address Line 2","city":"City","state":"State / Province","postal":"Postal / Zip Code","country":"Country"},"10_name":"payment","10_qid":10,"10_type":"control_payform","10_order":13,"10_options":{"currency":"default","creditCard":{"value":"Credit Card","enabled":true,"fields":[{"name":"ccv","value":"CCV","enabled":true},{"name":"nameOnCard","value":"Name on Card","enabled":true},{"name":"billingAddress","value":"Billing Address","enabled":true},{"name":"israelIdentityNumber","value":"Israel Identity Number","enabled":true}],"processorIndex":1,"type":[{"name":"Visa","value":"Visa","enabled":true},{"name":"Mastercard","value":"MasterCard","enabled":true},{"name":"Amex","value":"American Express","enabled":true},{"name":"Discover","value":"Discover","enabled":true},{"name":"Isracard","value":"Isracard","enabled":false}],"payMe":false},"paypal":{"value":"Paypal","enabled":false,"processorIndex":null},"eCheck":{"value":"eCheck","enabled":false},"other":{"value":"Other","enabled":false,"altText":"","message":""}},"form_title":"Hot Lunch Order Form","form_pagetitle":"Form","form_styles":"nova","form_font":"","form_fontsize":"18","form_fontcolor":"","form_optioncolor":"","form_lineSpacing":"12","form_background":"","form_formWidth":"765","form_labelWidth":"150","form_alignment":"Top","form_thankurl":"","form_thanktext":"","form_highlightLine":"Enabled","form_activeRedirect":"default","form_sendpostdata":"No","form_unique":"None","form_uniqueField":"\u003cField Id\u003e","form_status":"Enabled","form_injectCSS":"","form_hideMailEmptyFields":"disable","form_showProgressBar":"disable","form_formStrings":[{"alphabetic":"This field can only contain letters","alphanumeric":"This field can only contain letters and numbers.","confirmClearForm":"Are you sure you want to clear the form?","confirmEmail":"E-mail does not match","email":"Enter a valid e-mail address","generalError":"There are errors on the form. Please fix them before continuing.","generalPageError":"There are errors on this page. Please fix them before continuing.","gradingScoreError":"Score total should only be less than or equal to","incompleteFields":"There are incomplete required fields. Please complete them.","inputCarretErrorA":"Input should not be less than the minimum value:","inputCarretErrorB":"Input should not be greater than the maximum value:","lessThan":"Your score should be less than or equal to","maxDigitsError":"The maximum digits allowed is","maxSelectionsError":"The maximum number of selections allowed is","minSelectionsError":"The minimum required number of selections is","multipleFileUploads_emptyError":"{file} is empty, please select files again without it.","multipleFileUploads_minSizeError":"{file} is too small, minimum file size is {minSizeLimit}.","multipleFileUploads_onLeave":"The files are being uploaded, if you leave now the upload will be cancelled.","multipleFileUploads_sizeError":"{file} is too large, maximum file size is {sizeLimit}.","multipleFileUploads_typeError":"{file} has invalid extension. Only {extensions} are allowed.","numeric":"This field can only contain numeric values","pastDatesDisallowed":"Date must not be in the past.","pleaseWait":"Please wait...","required":"This field is required.","requireEveryRow":"Every row is required.","requireOne":"At least one field required.","submissionLimit":"Sorry! Only one entry is allowed.  Multiple submissions are disabled for this form.","uploadExtensions":"You can only upload following files:","uploadFilesize":"File size cannot be bigger than:"}],"form_limitSubmission":"No Limit","form_expireDate":"No Limit","form_messageOfLimitedForm":"This form is currently unavailable!","form_emails":[],"form_language":"","form_sendEmail":"Yes","form_style":"Default","form_theme":"nova","form_id":4396379,"form_formStringsChanged":"yes","form_slug":4396379,"form_stopHighlight":"Yes","form_optinDisabled":"true"}][0] || {}, window.formJson || {});
window.isSecureForm = true
});

			if (typeof(Userform) ==='undefined')
			{
				Userform={init:function(args){
					$j(function(){
						Userform.init.apply(Userform, [args]);
					})
				},
				setConditions:function(args){
					$j(function(){
						Userform.setConditions.apply(Userform, [args]);
					})
				}};
			}
</script><script type="text/javascript">
   Userform.init(function(){
      Userform.alterTexts({"alphabetic":"This field can only contain letters","alphanumeric":"This field can only contain letters and numbers.","confirmClearForm":"Are you sure you want to clear the form?","confirmEmail":"E-mail does not match","email":"Enter a valid e-mail address","generalError":"There are errors on the form. Please fix them before continuing.","generalPageError":"There are errors on this page. Please fix them before continuing.","gradingScoreError":"Score total should only be less than or equal to","incompleteFields":"There are incomplete required fields. Please complete them.","inputCarretErrorA":"Input should not be less than the minimum value:","inputCarretErrorB":"Input should not be greater than the maximum value:","lessThan":"Your score should be less than or equal to","maxDigitsError":"The maximum digits allowed is","maxSelectionsError":"The maximum number of selections allowed is","minSelectionsError":"The minimum required number of selections is","multipleFileUploads_emptyError":"{file} is empty, please select files again without it.","multipleFileUploads_minSizeError":"{file} is too small, minimum file size is {minSizeLimit}.","multipleFileUploads_onLeave":"The files are being uploaded, if you leave now the upload will be cancelled.","multipleFileUploads_sizeError":"{file} is too large, maximum file size is {sizeLimit}.","multipleFileUploads_typeError":"{file} has invalid extension. Only {extensions} are allowed.","numeric":"This field can only contain numeric values","pastDatesDisallowed":"Date must not be in the past.","pleaseWait":"Please wait...","required":"This field is required.","requireEveryRow":"Every row is required.","requireOne":"At least one field required.","submissionLimit":"Sorry! Only one entry is allowed.  Multiple submissions are disabled for this form.","uploadExtensions":"You can only upload following files:","uploadFilesize":"File size cannot be bigger than:"});
   });
</script>
<style type="text/css" id="GenFormStyles">
    .form-label{
        width:150px !important;
    }
    .form-label-left{
        width:150px !important;
    }
    .form-line{
        padding-top:12px;
        padding-bottom:12px;
    }
    .form-label-right{
        width:150px !important;
    }
    .form-all {
        font-size:18px;
    }
.co_body .content .form-all p {
 font-size:18px;

}
@media screen and (max-width: 600px) {.form-label-left{	float:none;	display:block;}.form-buttons-wrapper.button-align-auto{text-indent: 0!important;}}</style>

<form class="userform-form" action="" method="post" name="form_4396379" id="4396379" accept-charset="utf-8"><input type="hidden" name="formID" value="4396379" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_3"><div id="cid_3" class="form-input-wide"> <div id="text_3" class="form-html"><p style="text-align: justify;"><span style="color: rgb(0, 128, 128); font-size: 18px; text-align: justify;">• Cost of Lunch is $8 per day, per child.</span></p>

<p style="text-align: justify;"><span style="font-size: 18px; color: rgb(0, 128, 128);">• Please fill out a separate form for each child.</span></p>

<p style="text-align: justify;"><span style="font-size: 18px; color: rgb(0, 128, 128);">• Orders must be in before the week begins.  </span><strong><span style="font-size: 18px; color: rgb(0, 128, 128);">No same day orders.</span></strong></p>

<p style="text-align: justify;"><span style="font-size: 18px; color: rgb(0, 128, 128);">• If you have any questions please call 8174511171 or email camp@jewishsouthlake.com</span></p>
</div> </div></li><li id="cid_4" class="form-input-wide"> <div class="form-header-group"><h3 id="header_4" class="form-header">Hot Lunch Menu</h3></div> </li><li class="form-line" id="id_7"><div id="cid_7" class="form-input-wide"> <div id="text_7" class="form-html"><p style="text-align: justify;"><strong><span style="font-size: 18px; color: rgb(0, 128, 128);">Monday:</span></strong><span style="font-size: 18px; color: rgb(0, 128, 128);">  Hot Dog, Bun, French Fries, Ketchup Packet,  Snack,* Fruit** (Second Hot Dog and Bun available for $2.5)</span></p>

<p style="text-align: justify;"><strong><span style="font-size: 18px; color: rgb(0, 128, 128);">Tuesdays &amp; Thursdays: </span></strong><span style="font-size: 18px; color: rgb(0, 128, 128);"> (Trip Days): Bagel with Tuna or Cream Cheese, Snack,* Fruit** (Second Bagel available for $2.5)</span></p>

<p style="text-align: justify;"><strong><span style="font-size: 18px; color: rgb(0, 128, 128);">Wednesday: </span></strong><span style="font-size: 18px; color: rgb(0, 128, 128);"> Homemade Mac + Cheese, Sliced Cucumbers, Baby Carrots, Snack,* Fruit**</span></p>

<p style="text-align: justify;"><strong><span style="font-size: 18px; color: rgb(0, 128, 128);">Friday: </span></strong><span style="font-size: 18px; color: rgb(0, 128, 128);"> Fish Sticks, Rice, Dinner Roll, Green Beans, Snack,* Fruit**  </span></p>

<p style="text-align: justify;"><em><span style="color: rgb(0, 128, 128); font-size: 14px;">*For example: small bag of chips, mini cookies or animal crackers.</span></em></p>

<p style="text-align: justify;"><em><span style="color: rgb(0, 128, 128); font-size: 14px;">** For example: individually packed sliced apples, orange, banana or fruit cup. </span></em></p>
</div> </div></li><li class="form-line" id="id_5"><div class="form-label-top" id="label_5"><label for="input_5"> Parent Name<span class="form-required">*</span> </label><label class="label-message" for="input_5"> </label></div><div id="cid_5" class="form-input-wide"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q5_fullName[first]" id="first_5" autocomplete="given-name" />  <label class="form-sub-label" for="first_5" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q5_fullName[last]" id="last_5" autocomplete="family-name" />  <label class="form-sub-label" for="last_5" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_19"><div class="form-label-top" id="label_19"><label for="input_19"> Parent Phone Number<span class="form-required">*</span> </label><label class="label-message" for="input_19"> </label></div><div id="cid_19" class="form-input-wide"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="tel" name="q19_phoneNumber[area]" id="input_19_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_19_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="tel" name="q19_phoneNumber[phone]" id="input_19_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_19_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_6"><div class="form-label-top" id="label_6"><label for="input_6"> Parent E-mail<span class="form-required">*</span> </label><label class="label-message" for="input_6"> </label></div><div id="cid_6" class="form-input-wide"> <input type="email" class=" form-textbox validate[required, Email]" id="input_6" name="q6_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_20"><div class="form-label-top" id="label_20"><label for="input_20"> Camper Name<span class="form-required">*</span> </label><label class="label-message" for="input_20"> </label></div><div id="cid_20" class="form-input-wide"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q20_fullName20[first]" id="first_20" autocomplete="given-name" />  <label class="form-sub-label" for="first_20" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q20_fullName20[last]" id="last_20" autocomplete="family-name" />  <label class="form-sub-label" for="last_20" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_15"><div class="form-label-top" id="label_15"><label for="input_15"> Week 1 </label><label class="label-message" for="input_15"> </label></div><div id="cid_15" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_15_0" name="q15_input15[]" value="Monday" /><label id="label_input_15_0" for="input_15_0"><span>Monday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_15_1" name="q15_input15[]" value="(Monday Extra Hot Dog)" /><label id="label_input_15_1" for="input_15_1"><span>(Monday Extra Hot Dog)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_15_2" name="q15_input15[]" value="Tuesday" /><label id="label_input_15_2" for="input_15_2"><span>Tuesday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_15_3" name="q15_input15[]" value="(Tuesday Extra Bagel)" /><label id="label_input_15_3" for="input_15_3"><span>(Tuesday Extra Bagel)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_15_4" name="q15_input15[]" value="Wednesday" /><label id="label_input_15_4" for="input_15_4"><span>Wednesday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_15_5" name="q15_input15[]" value="Thursday" /><label id="label_input_15_5" for="input_15_5"><span>Thursday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_15_6" name="q15_input15[]" value="(Thursday Extra Bagel)" /><label id="label_input_15_6" for="input_15_6"><span>(Thursday Extra Bagel)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_15_7" name="q15_input15[]" value="Friday" /><label id="label_input_15_7" for="input_15_7"><span>Friday</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_18"><div class="form-label-top" id="label_18"><label for="input_18"> Week 2 </label><label class="label-message" for="input_18"> </label></div><div id="cid_18" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_18_0" name="q18_input18[]" value="Monday" /><label id="label_input_18_0" for="input_18_0"><span>Monday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_18_1" name="q18_input18[]" value="(Monday Extra Hot Dog)" /><label id="label_input_18_1" for="input_18_1"><span>(Monday Extra Hot Dog)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_18_2" name="q18_input18[]" value="Tuesday" /><label id="label_input_18_2" for="input_18_2"><span>Tuesday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_18_3" name="q18_input18[]" value="(Tuesday Extra Bagel)" /><label id="label_input_18_3" for="input_18_3"><span>(Tuesday Extra Bagel)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_18_4" name="q18_input18[]" value="Wednesday" /><label id="label_input_18_4" for="input_18_4"><span>Wednesday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_18_5" name="q18_input18[]" value="Thursday" /><label id="label_input_18_5" for="input_18_5"><span>Thursday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_18_6" name="q18_input18[]" value="(Thursday Extra Bagel)" /><label id="label_input_18_6" for="input_18_6"><span>(Thursday Extra Bagel)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_18_7" name="q18_input18[]" value="Friday" /><label id="label_input_18_7" for="input_18_7"><span>Friday</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_16"><div class="form-label-top" id="label_16"><label for="input_16"> Week 3 </label><label class="label-message" for="input_16"> </label></div><div id="cid_16" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_16_0" name="q16_input16[]" value="Monday" /><label id="label_input_16_0" for="input_16_0"><span>Monday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_16_1" name="q16_input16[]" value="(Monday Extra Hot Dog)" /><label id="label_input_16_1" for="input_16_1"><span>(Monday Extra Hot Dog)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_16_2" name="q16_input16[]" value="Tuesday" /><label id="label_input_16_2" for="input_16_2"><span>Tuesday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_16_3" name="q16_input16[]" value="(Tuesday Extra Bagel)" /><label id="label_input_16_3" for="input_16_3"><span>(Tuesday Extra Bagel)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_16_4" name="q16_input16[]" value="Wednesday" /><label id="label_input_16_4" for="input_16_4"><span>Wednesday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_16_5" name="q16_input16[]" value="Thursday" /><label id="label_input_16_5" for="input_16_5"><span>Thursday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_16_6" name="q16_input16[]" value="(Thursday Extra Bagel)" /><label id="label_input_16_6" for="input_16_6"><span>(Thursday Extra Bagel)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_16_7" name="q16_input16[]" value="Friday" /><label id="label_input_16_7" for="input_16_7"><span>Friday</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_17"><div class="form-label-top" id="label_17"><label for="input_17"> Week 4 </label><label class="label-message" for="input_17"> </label></div><div id="cid_17" class="form-input-wide"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_17_0" name="q17_input17[]" value="Monday" /><label id="label_input_17_0" for="input_17_0"><span>Monday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_17_1" name="q17_input17[]" value="(Monday Extra Hot Dog)" /><label id="label_input_17_1" for="input_17_1"><span>(Monday Extra Hot Dog)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_17_2" name="q17_input17[]" value="Tuesday" /><label id="label_input_17_2" for="input_17_2"><span>Tuesday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_17_3" name="q17_input17[]" value="(Tuesday Extra Bagel)" /><label id="label_input_17_3" for="input_17_3"><span>(Tuesday Extra Bagel)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_17_4" name="q17_input17[]" value="Wednesday" /><label id="label_input_17_4" for="input_17_4"><span>Wednesday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_17_5" name="q17_input17[]" value="Thursday" /><label id="label_input_17_5" for="input_17_5"><span>Thursday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_17_6" name="q17_input17[]" value="(Thursday Extra Bagel)" /><label id="label_input_17_6" for="input_17_6"><span>(Thursday Extra Bagel)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_17_7" name="q17_input17[]" value="Friday" /><label id="label_input_17_7" for="input_17_7"><span>Friday</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_9"><div class="form-label-top" id="label_9"><label for="input_9"> Total </label></div><div id="cid_9" class="form-input-wide"> <div id="total_amount">$0.00 </div><div class="form-single-column form-checkbox-item" id="div_offset_gift_9" style="padding-top: 10px">		<input type="checkbox" id="input_9" class="form-checkbox" name="q9_offsetGiftPercent" value="3" />		<label id="label_9" for="input_9">Yes, I'd like to donate the cost of processing this transaction by adding 3%</label>		<input type="hidden" id="hidden_9" name="q9_offsetGiftAmount" />		<div class="clearfix"></div>		</div> </div></li><li class="form-line" id="id_10"><div class="form-label-top" id="label_10"><label for="input_10"> Payment<span class="form-required">*</span> </label><label class="label-message" for="input_10"> </label></div><div id="cid_10" class="form-input-wide"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"></td></tr><tr class="credit_card "><th colspan="2">Credit Card</th></tr><tr class="credit_card "><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express, Discover</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div><div class="cc-icon discover-icon"></div></div><input type="hidden" name="q10_payment[cc_type]" id="input_10_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[required, visible, creditcard]" type="text" name="q10_payment[cc_number]" id="input_10_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_10_cc_number" id="sublabel_cc_number">Credit Card Number</label></span></div></td><td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q10_payment[cc_ccv]" id="input_10_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_10_cc_ccv" id="sublabel_cc_ccv">Security Code</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q10_payment[cc_nameOnCard]" id="input_10_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_10_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card "><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q10_payment[cc_exp_month]" id="input_10_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_10_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q10_payment[cc_exp_year]" id="input_10_cc_exp_year" autocomplete="cc-exp-year"><option></option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option><option value="2035">2035</option></select>  <label class="form-sub-label" for="input_10_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="billing_address "><th colspan="2">Billing Address</th></tr><tr class="billing_address "><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-line" type="text" name="q10_payment[addr_line1]" id="input_10_addr_line1" autocomplete="billing address-line1" />  <label class="form-sub-label" for="input_10_addr_line1" id="sublabel_10_addr_line1">Street Address</label></span></td></tr><tr class="billing_address "><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-city" type="text" name="q10_payment[city]" id="input_10_city" autocomplete="billing address-level2" />  <label class="form-sub-label" for="input_10_city" id="sublabel_10_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-state" type="text" name="q10_payment[state]" id="input_10_state" autocomplete="billing address-level1" />  <label class="form-sub-label" for="input_10_state" id="sublabel_10_state">State / Province</label></span></td></tr><tr class="billing_address "><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-postal" type="text" name="q10_payment[postal]" id="input_10_postal" size="10" autocomplete="billing postal-code" />  <label class="form-sub-label" for="input_10_postal" id="sublabel_10_postal">Postal / Zip Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown validate[required] form-address-country" name="q10_payment[country]" id="input_10_country" autocomplete="billing country-name"><option value="" selected="selected">Please Select</option><option value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="People's Republic of China">People's Republic of China</option><option value="Republic of China">Republic of China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Eswatini">Eswatini</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands">Falkland Islands</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Polynesia">French Polynesia</option><option value="Gabon">Gabon</option><option value="The Gambia">The Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guernsey">Guernsey</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jersey">Jersey</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="North Korea">North Korea</option><option value="South Korea">South Korea</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macau">Macau</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Mariana">Northern Mariana</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Pitcairn Islands">Pitcairn Islands</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Romania">Romania</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Barthelemy">Saint Barthelemy</option><option value="Saint Helena">Saint Helena</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Martin">Saint Martin</option><option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option><option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="Somaliland">Somaliland</option><option value="South Africa">South Africa</option><option value="South Ossetia">South Ossetia</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Svalbard">Svalbard</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tristan da Cunha">Tristan da Cunha</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="British Virgin Islands">British Virgin Islands</option><option value="US Virgin Islands">US Virgin Islands</option><option value="Wallis and Futuna">Wallis and Futuna</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option><option value="other">Other</option></select>  <label class="form-sub-label" for="input_10_country" id="sublabel_10_country">Country</label></span></td></tr></tbody></table> </div></li><li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li></ul></div><input type="hidden" id="simple_spc" name="simple_spc" value="4396379" /><script type="text/javascript">document.getElementById("si"+"mple"+"_spc").value = "4396379-4396379";</script><div>


<script>
	var recaptchaIsEnterprise = false;
		 var recaptchaV2Key = "6LcG_TcUAAAAAKAVgwgW39ujc9OCjXSoQYFIA-Su";

</script>

	<input type="hidden" class="js-recaptcha-input" name="cdo-captcha-response" value="" data-div-id="350146ef-4ad0-4f15-9bd8-47096f15447f" data-processed="false" />
	<div class="js-recaptcha-wrapper" id="350146ef-4ad0-4f15-9bd8-47096f15447f"></div>	
</div></form></div></div>
<div class="center small">
	<img valign="absbottom" src="https://w2.chabad.org/images/global/icons/lock.gif" width="16" height="16" alt="Secure"> This page uses TLS encryption to keep your data secure.
</div>
	<div class="break_floats"></div>
	

<div class="content-footer">
	
	
	
	
	
	
</div>
	</article>

		</div>
	</div>
</div>
						
						<div class="break_floats"></div>
						
					</div>
				</div>
				
				
				
			</div>
			
			<!-- BEGIN FOOTER --></div></div>

<div class="ct-footer-illustrations">
<img src="https://w2.chabad.org/media/images/1147/eOqx11478139.png" class="ct-footer-illustration-hill-left" />
<img src="https://w2.chabad.org/media/images/1147/nVcc11478145.png" class="ct-footer-illustration-swim" />
<img src="https://w2.chabad.org/media/images/1147/KhuQ11478142.png" class="ct-footer-illustration-hill-right" />
<img src="https://w2.chabad.org/media/images/1147/TIIw11478146.png" class="ct-footer-illustration-soccer-boy" data-stellar-ratio="1.95" />
<img src="https://w2.chabad.org/media/images/1147/ykuy11478138.png" class="ct-footer-illustration-bottom-grass" />
<img src="https://w2.chabad.org/media/images/1147/bQie11478150.png" class="ct-footer-illustration-grass-small" />
<img src="https://w2.chabad.org/media/images/1147/FPbI11478140.png" class="ct-footer-illustration-carousel" />
<img src="https://w2.chabad.org/media/images/1147/wzdb11478144.png" class="ct-footer-illustration-shabbat" />
<img src="https://w2.chabad.org/media/images/1147/yoLk11478141.png" class="ct-footer-illustration-rock-small" />
<img src="https://w2.chabad.org/media/images/1147/lSkE11478143.png" class="ct-footer-illustration-rock-large" />
<img src="https://w2.chabad.org/media/images/1147/xORy11478147.png" class="ct-footer-illustration-tennis-girl" data-stellar-ratio="0.99" />
<img src="https://w2.chabad.org/media/images/1147/bQie11478150.png" class="ct-footer-illustration-grass-small" />
</div>
</div>

</div>
</div>
<div class="ct-footer">
<div class="ct-default-footer">
<a href="/" class="ct-back-to">« Back to Chabad of Southlake</a>
</div>

<div class="ct-extra-footer"></div>

<div class="ct-by">Site by 
<a href="https://theclickco.com" target="_blank">Click Co</a></div>
</div>
<script type="text/javascript">
//<![cdata[
function run() {
  var navBar = document.querySelector(".ct-nav #menu");
  var logoItem = navBar.querySelector("li.parent a.parent[href*=\"5009276\"]");

  if (logoItem) {
    logoItem.parentNode.classList.add("logo");
  }

  var navItemsNoLogo = navBar.querySelectorAll("li.parent:not(.logo)");
  var maxItems = 6;
  var length = navItemsNoLogo.length;
  if (length > maxItems) length = maxItems;
  var leftSide = "";
  var rightSide = "";
  var halfPoint = length / 2;

  for (var i = 0; length > i; i++) {
    if (halfPoint > i) {
      leftSide += navItemsNoLogo[i].outerHTML;
    } else {
      rightSide += navItemsNoLogo[i].outerHTML;
    }
  }

  navBar.innerHTML = "<div class='ct-split-nav'><div class='ct-nav-left'>" + leftSide + "</div><a href='/5009276' class='ct-nav-logo'>Logo</a><div class='ct-nav-right'>" + rightSide + "</div></div>";
  navBar.querySelector(".ct-split-nav").classList.add("show");
  var oldBackLink = document.querySelector(".cco_templateless_template a");

  if (oldBackLink) {
    var oldBackLinkParent = oldBackLink.parentNode;
    if (oldBackLinkParent) oldBackLinkParent.removeChild(oldBackLink);
  }

  if (typeof TrackClick !== 'undefined' && TrackClick) TrackClick('popup-subscribe', 'no-thanks', document.location.href);
  if (typeof PopupSubscribeLayer !== 'undefined' && PopupSubscribeLayer) PopupSubscribeLayer.Close();
}

run();

//]]>
</script>

<!-- END FOOTER -->
		</div>
		
		<aside class="page-tools-sidebar js-page-tools-sidebar hide_for_print">
<div class="page-tools js-page-tools-menu">
<div class="page-tools__section page-tools__section--share">
<a class="page-tools__tool js-share-popup page-tools__tool--facebook" data-share-url="https://www.facebook.com/dialog/share?app_id=188669250943&amp;display=popup&amp;href=https%3a%2f%2fwww.jewishsouthlake.com%2ftemplates%2farticlecco_cdo%2faid%2f4396379%2fjewish%2fHot-Lunch-Order-Form.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dFB">
				<i class="fa fa-facebook"></i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--twitter" data-share-url="https://twitter.com/intent/tweet?text=Hot+Lunch+Order+Form+-+Chabad+of+Southlake&amp;url=https%3a%2f%2fwww.jewishsouthlake.com%2ftemplates%2farticlecco_cdo%2faid%2f4396379%2fjewish%2fHot-Lunch-Order-Form.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dtwitter&amp;via=Chabad">
				<i class="fa fa-twitter"></i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--whatsapp d-lg-none js-share-whatsapp" data-share-url="whatsapp://send?text=Hot+Lunch+Order+Form+-+Chabad+of+Southlake https%3a%2f%2fwww.jewishsouthlake.com%2ftemplates%2farticlecco_cdo%2faid%2f4396379%2fjewish%2fHot-Lunch-Order-Form.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dwhatsapp">
				<i class="fa fa-whatsapp">
					<svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 50 50" fill="#128c7e" width="1em" height="1em"><path d="M25 2C12.318 2 2 12.318 2 25c0 3.96 1.023 7.854 2.963 11.29L2.037 46.73c-.096.343-.003.711.245.966.191.197.451.304.718.304.08 0 .161-.01.24-.029l10.896-2.699C17.463 47.058 21.21 48 25 48c12.682 0 23-10.318 23-23S37.682 2 25 2zm11.57 31.116c-.492 1.362-2.852 2.605-3.986 2.772-1.018.149-2.306.213-3.72-.231-.857-.27-1.957-.628-3.366-1.229-5.923-2.526-9.791-8.415-10.087-8.804-.295-.389-2.411-3.161-2.411-6.03s1.525-4.28 2.067-4.864c.542-.584 1.181-.73 1.575-.73s.787.005 1.132.021c.363.018.85-.137 1.329 1.001.492 1.168 1.673 4.037 1.819 4.33.148.292.246.633.05 1.022s-.294.632-.59.973-.62.76-.886 1.022c-.296.291-.603.606-.259 1.19s1.529 2.493 3.285 4.039c2.255 1.986 4.158 2.602 4.748 2.894.59.292.935.243 1.279-.146.344-.39 1.476-1.703 1.869-2.286s.787-.487 1.329-.292c.542.194 3.445 1.604 4.035 1.896.59.292.984.438 1.132.681.148.242.148 1.41-.344 2.771z"/></svg>
				</i>
			</a>
<a class="page-tools__tool js-share-popup page-tools__tool--pinterest d-none d-lg-block" data-share-url="http://pinterest.com/pin/create/button/?url=https%3a%2f%2fwww.jewishsouthlake.com%2ftemplates%2farticlecco_cdo%2faid%2f4396379%2fjewish%2fHot-Lunch-Order-Form.htm%23utm_medium%3dpage_tools%26utm_content%3ddesktop%26utm_source%3dpinterest&amp;description=Hot+Lunch+Order+Form+-+Chabad+of+Southlake">
				<i class="fa fa-pinterest"></i>
			</a>
<a class="page-tools__tool" onclick="showEmailLayer(this);">
<i class="fa fa-envelope"></i>
</a>
</div>
<div class="page-tools__section page-tools__section--other js-page-tool-other">
<div class="page-tools__tool popover-parent d-lg-block">
<div class="popover popover--right align_left nowrap">
<div class="popover__content">
<label class="bold bottom_margin block">
Print Options:
</label>
<form class="vcenter" name="print-form" onsubmit="coPrint(event, 5014644);return false;">
<div>
<label><input type="checkbox" name="print-green"><span title="Save paper and ink">Print without images <i class="fa fa-leaf text-green"></i></span></label>
</div>
<br/>
<div class="center">
<button class="co-button page-tools__print-button">Print</button>
</div>
</form>
</div>
</div>
<i class="fa fa-print"></i>
</div>
</div>
</div>
<div class="js-fab-wrapper fab-wrapper">
<div class="fab">
<i class="fab-icon"></i>
</div>
</div>
</aside>
<!-- END CACHE -->
	</div>

	</div>

	<div id="BodyContainer">
		<div class="g960 footer">
			<div class="poweredby large_bottom_margin">
				



	<div class="footer3">
		<span class="footer-title" >Chabad of Southlake</span>
		<div class="footer-address">
			<span class="footer-street">1970 E Dove Road </span>
			<span class="footer-city-state">Southlake, TX 76092</span>
		</div>
			<span>817-451-1171</span>
	</div>
	<img src="https://w2.chabad.org/images/global/spacer.gif" width="1" height="6" border="0" /><br />



Powered by <a href="https://www.chabad.org/" target="_new" class="">Chabad.org</a> &copy; 1993-2026 <a href="/4026210" target="_blank" class="privacy-link">Privacy Policy</a>




			</div>
		</div>
	</div>
	
	

	
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/os/jquery-latest.min.js?v=278824AF"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/os/jquery/jquery.inputmask.min.js?v=BF33D3B4"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/co/dist/CoLib.js?v=CD6CB303"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/WebComponents/bundles/magen-cdo-global.js?v=C8425CA5"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/multimedia/infolayer.js?v=ED1B8531"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/forms/userform.js?v=E69144BF"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/article/comments/reply-form-controller.js?v=DC70C970"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/commentsloader.js?v=AD6AAB79"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/minisites.js?v=F38E4DA5"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/subscribeprompt.js?v=86D84DC2"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/templates/FormDecoder.js?v=83AF6F1A"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/modules/pagetools.js?v=930B07AB"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/custom/deprecated.js?v=D506A83E"></script>
<script type="text/javascript" src="https://w2.chabad.org/scripts/js/OverrideJSDocumentWrite.js?v=9A0227AA"></script><script>$j = $j.fn ? $j : jQuery;$j(()=>{$q.forEach(f=>{try{f.call(window);}catch(ex){console.error(ex);}});})</script>
	

<script  language="javascript" type="text/javascript"> Co.Settings      = {CacheClassName:'js-cache-default',MosadName:'Chabad of Southlake'}; Co.ArticleId     = '4396379';Co.SectionId     = 5009276;Co.PartnerSiteId = 0;Co.SiteId        = 8235;Co.IsMobilePage  = false;Co.IsResponsive  = false;Co.DbDomain      = 'JewishSouthLake.com';Co.LanguageCode  = '';Co.LoginStatus   = 'None';</script>
	
	
<script type="text/javascript" src="https://w2.Chabad.org/images/Shluchim/minisites/themes/form-redesign/form-script.js?v=8"></script>
</body>
</html>