Gold Medal Swim Club – Travel Meal Order Form

Form filled out Date and time

Swimmer/Coach/Chaperone's Information

First Name*

Last Name*

Phone*

Email*

Swim Meet Name*

Swim Meet Location*

Must select to view participating restaurants for your meet location.

Des Moines

Restaurants and Instructions

BREAKFAST:
Breakfast – complimentary at the hotel. Opens at 6:00 am Wednesday – Friday. Will open early for team on Saturday and Sunday – be ready for a 6:45 am breakfast before going to the pool.

LUNCH AND DINNER:
There are two restaurants listed below:

Firehouse Subs - lunch
Jersey Mike's - lunch

Please place your order for all restaurants. We will order at each one throughout the trip.

NOTE: Due to the quantity of the order being placed all at once, the sandwiches from Firehouse Subs will probably NOT be toasted.

DINNER:
Dinners – Provided at the hotel. Please indicate if you would like salad and bread with your meal so we can give the hotel a final count for the side.

Say YES or NO to Salad and Breadsticks
Salads will be served with the House Dressing - if you want a different dressing, purchase it on the shopping trip.

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Meal Plan Options

*

All Meals (Breakfast, Lunch, and Dinner)
Lunch and Dinner
Dinner Only

Breakfast

*

Yes, I would like to add breakfast to my meal plan. I understand this an additional $12 per day charge.
No, I will do breakfast on my own.

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Food Allergies and Special Diets

Krystyna has worked with the hotel to make sure the protein preparation is safe for our gluten-free and nut-free swimmers. We can also request individual meals as needed. Please call or text Krystyna at 602-684-6567 at your convenience with any questions about meals for your swimmer with food allergies.

Do you have any food allergies or a special diet to consider when ordering? Please list below. If you do not have any food allergies or a special diet please leave blank.

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Chipotle

Lunch

Chipotle: Style*

Burrito
Bowl

Chipotle: Protein - Choose One*

Chipotle: Rice - Choose One*

Chipotle: Beans - Choose One*

Black Beans
Pinto Beans
NONE

Chipotle: Toppings - Choose as many as you want*

Chipotle: Requests

We will do our best - no promises

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Monkey Sub's

Lunch

Monkey Sub's: Bread - Choose One*

6" White
8" White
12" White
Gluten Free

Monkey Sub's: Meat (Choose One)*

Ham
Turkey
Roast Beef
Club - Ham, Turkey, Bacon

Monkey Sub's: Cheese (Choose One)*

Provolone
Swiss
Cheddar
No Cheese

Monkey Sub's: Toppings - Choose as many as you like*

NONE
Onions
Lettuce
Tomato
Oil and Vinegar
Mayo
Mustard

Monkey Sub's: Requests

We will do our best - no promises

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Firehouse

Lunch

Firehouse: Bread - Choose One*

Firehouse: Main Topping*

Ham
Turkey
Club: Ham, Turkey, Bacon
Vegetables

Firehouse: Cheese - Choose One*

Firehouse: What else? Mayo, Mustard, Lettuce, Tomato, Onions, etc.*

Type NOTHING if no additional toppings are desired.

Firehouse: Requests

We will do our best - no promises

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Jersey Mike's

Lunch

Jersey Mike's: Bread - Choose One*

Jersey Mike's: Sandwich - Choose One*

#3 Ham and Provolone
#7 Turkey and Provolone
#8 Club Sub

Jersey Mike's: Toppings - Choose as many as you like*

Jersey Mike's: Requests

We will do our best - no promises

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Old Spaghetti Factory

Dinner

Old Spaghetti Factory: Choose One Entrée*

Old Spaghetti Factory: Gluten Free - Choose One Sauce for Pasta*

GF noodles with Marinara Sauce
GF noodles with Rich Meat Sauce
GF noodles with Mushroom Sauce
GF noodles with Mizithra Cheese and Browned Butter
GF noodles with Alfredo Sauce
GF noodles with diced chicken breast, fresh broccoli, mushrooms, alfredo sauce and Romano chees

Old Spaghetti Factory: Gluten Free or I WANT EXTRA PROTEIN - Choose One*

Whole Seasoned Chicken Breast
Italian Sausage
Diced Marinated Chicken
No thank you

Old Spaghetti Factory: Bread*

Yes
No

Old Spaghetti Factory: Salad*

Yes
No

Old Spaghetti Factory: Requests

We will do our best - no promises

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Chili's

Dinner

Chili's: Choose One Entrée*

Chicken and Pasta
6oz. Sirloin
Margarita chicken with rice and black beans

Chili's: Sides for Sirloin - Choose Two*

Chili's House Salad*

Yes
No

Chili's: Requests

We will do our best - no promises

Two Complete Meals Option - Additional charge*

If you would like two entrees please select yes below. The additional entrée will be a duplicate of the order above.

No - One entrée only.
Yes, please double my order. (Additional charge)

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Olive Garden

Dinner

Olive Garden: Choose One Entrée*

Olive Garden: Gluten Free- Choose One*

Grilled Chicken Parmesan, GF Rotini
Herb Grilled Salmon, GF Rotini
GF Rotini with Meat Sauce
GF Rotini with Marinara Sauce

Olive Garden - Extra Protein - Additional charge*

No
Yes - Grilled Chicken Breast (Additional charge)
Yes - Two Meatballs (Additional charge)

Olive Garden: Breadsticks*

Yes
No

Olive Garden: Salad*

Yes
No

Olive Garden: Requests

We will do our best - no promises

Two Complete Meals Option - Additional charge*

If you would like two entrees please select yes below. The additional entrée will be a duplicate of the order above.

No - One entrée order only.
Yes, please double my order. (Additional charge)

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Olive Garden (2)

Dinner (2)

Olive Garden: Choose One Entrée*

NONE - I am ordering from the Gluten-Free Menu
Chicken Parmesan w/ Spaghetti
Cheese Raviolo w/ Marinara Sauce
Cheese Ravioli w/ Meat Sauce
Fettuccine Alfredo w/ Chicken
Fettuccine Alfredo -no chicken

Olive Garden: Gluten Free- Choose One*

Grilled Chicken Parmesan, GF Rotini
Herb Grilled Salmon, GF Rotini
GF Rotini with Meat Sauce
GF Rotini with Marinara Sauce

Olive Garden - Extra Protein - Additional charge (2)*

No
Yes - Grilled Chicken Breast (Additional charge)
Yes - Two Meatballs (Additional charge)

Olive Garden: Breadsticks*

Yes
No

Olive Garden: Salad*

Yes
No

Olive Garden: Requests

We will do our best - no promises

Two Complete Meals Option - Additional charge (2)*

If you would like two entrees please select yes below. The additional entrée will be a duplicate of the order above.

No - One entrée order only.
Yes, please double my order. (Additional charge)

Ice Delivery

Ice Delivery from Walmart (Additional charge)*

No
Yes (Additional charge)

Ice Delivery

Ice will be available after the following sessions. Please select desired sessions. You will then be prompted to specify the number of bags (7-lb bags) desired for each selected session.

Thursday AM
Thursday PM
Friday AM
Friday PM
Saturday AM
Saturday PM
Sunday AM

Number of Bags of Ice - Thursday AM

Number of Bags of Ice - Thursday PM

Number of Bags of Ice - Friday AM

Number of Bags of Ice - Friday PM

Number of Bags of Ice - Saturday AM

Number of Bags of Ice - Saturday PM

Number of Bags of Ice - Sunday AM

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Dinner Options

Dinner - Salad

Yes - Salad
No - Salad

Dinner - Breadsticks

Yes - Breadsticks
No - Breadsticks

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