Name:
E-mail:
Event Date:
Event Start Time: Food Service Time:
Program will take place: Select Before During After
Room: Jane Schultz Room Student Board Room Jonas Room

Sponsoring Organization: Please Select One Accounting Society Alpha Rho Omega Alpha Sigma Tau Alpha Xi Delta Alumni Executive Board Amnesty International Arrow Yearbook Assn. for Computing Machinery Assn. of Mathematically Interested Students Best Buddies Beta Phi Gamma Big Brothers/Big Sisters Black Student Union Campus Activities Board Campus Girl Scouts Chemistry Club Circle K Class of 2008 Class of 2009 Class of 2010 Class of 2011 Class of 2012 Club Franco Colleges Against Cancer Commuter Student Organization Coptic Club Creative Arts Society Criminal Justice Society Deutschverein (German Club) English Society Equestrian Club Fly Fishing Club Gamma Delta Sigma Habitat for Humanity Interfraternity Council Japanese Culture Club Juggling Club Kappa Delta Rho Lambda Chi Alpha Lyco 2 (TV) Lyco Student Programs Lycoming College (Shotokan) Karate Club Lycoming College Association for Stage Technology Lycoming College Dance Club Lycoming College Democrats Lycoming College History Club Lycoming College Investment Club Lycoming College Republicans Lycoming College Roller Hockey Lycoming Environmental Awareness Foundation Lycoming Fencers Club and Guild of Swordsmen Lycourier Multicultural Awareness Group National Broadcasting Society Panhellenic Council Phi Kappa Psi Phi Mu Delta Political Science Club Pre-Health Society Prelaw Society Psychology Club R.O.T.C. Raging Stitches Recreation Board of Lycoming College Religious Exploration at Lycoming Russian Language Club S-Pennsylvania State Education Association SMART Tutoring Program Society of Physics Students Sociology-Anthropology Society Spanish Club Student Government Student Orientation Staff Tau Kappa Epsilon Ultimate Frisbee Organization of Lycoming College United Campus Ministry Volleyball Club WRLC Other

                  Other: 

GL #  SEE JEAN WOOL (Clubs/Orgs) or YOUR DEPT SECRETARY FOR THIS #)
Reservation #   YOU MUST RESERVE YOUR ROOM PRIOR TO SCHEDULING.

Dinner Menu:

Choose 1 from each category.

Starters

Soup de Jour

Tossed Salad with Dressing Choices (served family style)

Fruit Salad

Caesar Salad

Entrée

Baked Stuffed Chicken Breast $10.35

Thinly Sliced Roast Beef $11.40

Herb Crusted Chicken Breast $10.35

Chicken Parmesan Served with Pasta $8.25

*No potato option with this entrée

Chicken Stir Fry Served with Rice $9.30

*No potato option with this entrée

Garden Vegetable Pasta Alfredo $8.85

*No potato option with this entrée

Cheese Lasagna with Meat Sauce $7.60
Check here to substitute Marinara Sauce

Accompaniments

All entrees served with Chef’s Choice of Vegetable to Compliment the meal and A Choice of:

Roasted Red Potatoes

Mashed Potatoes

Long Grain Wild Rice

Desserts

Vanilla Ice Cream with Homemade Peanut Butter Sauce

Fried Tortilla with Vanilla Ice Cream and Chocolate Topping

Blonde Brownie A La Mode with Butterscotch

Apple Pie

Chocolate Cake

Chocolate Mousse

Chocolate Cake with Peanut Butter Icing

Coffee Ice Cream with Cinnamon Espresso Sauce

Beverages

Soda and Ice Water

Coffee Service Upon Request

Student Names (On Board):

Please note: The first 15 fields are required. If your guest is not on board, please enter 'offboard' in the ID # field.

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By Submitting this form you agree to the terms and conditions as outlined by the Private Dining Room Policy as posted in the Office of Student Programs and Leadership Development.

Please be reminded that all forms must be submitted at least 7 days prior to the event. Failure to do so will result in the canceling of your event.

Failure to attend without the appropriate notice will result in the sponsoring organization or residence hall being billed.