Dear Parent / Guardian, Your child’s school is participating in the Boost School Fundraising Program on the <00/00/0000> and your son/daughter has the opportunity to place a special Boost order! What is the Boost School Fundraising program? The Boost School Fundraising program is a partnership between your school and your local Boost Juice Bar. With a joint goal of increasing the intake of fruit in children and helping children make healthier food choices, your local Boost Juice Bar will prepare and deliver a delicious range of fruit filled Smoothies and Crushes as well as a piece of Boost Banana Bread. A portion of the money from every student lunch order will be donated back to your school to help fund education, sporting and leisure equipment. Lunch Order The lunch order will include: Medium Boost drink & piece of Banana Bread The cost for the lunch order is $X.XX Please select from the following: Tropical Crush Mango Tango Crush Strawberry Squeeze Mango Magic Banana Buzz 99% Fat Free and Dairy Free. Mango, Banana, Tropical Juice, Sorbet & Ice 99% Fat Free and Dairy Free. Mango, Tropical Juice, Passionfruit, Sorbet & Ice 98% Low-Fat Smoothie Strawberries, Banana, Apple Juice, TD4 Strawberry Yoghurt & Ice 98% Low-Fat Smoothie Mango, Banana, Mango Nectar, TD4 Vanilla Yoghurt & Ice 98% Low-Fat Smoothie Banana, Honey, Low-fat milk or soy, TD4 Vanilla Yoghurt & Ice Student Name: ______________________________________________________________________ Class / Teachers Name: _______________________________________________________________ Please visit www.boostjuicebars.com/#products/nutritional-info if you would like further nutritional or allergen information on any of our Smoothies or Crushes. Does your son / daughter have any specific dietary requirements that your local Boost Juice Bar should be aware of when preparing this order (for example Banana Buzz to be prepared with Soy)? Please complete and return this lunch order form with the $X.XX payment with your son/daughter before <00/00/0000>.