YEAR 7 CAMP – Dietary Requirement

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YEAR 7 CAMP - DIETARY REQUIREMENTS FORM

Please complete this form if the attendee has a food allergy or special dietary requirements. If your child has a food allergy you MUST provide a signed ASCIA Allergy Action Plan

Name of Student(Required)

First Last

Does your child have a food allergy?(Required)

No

Yes

If yes, please specify the severity and treatment if required.

Does your child have any of the following dietary restrictions?

Vegan

Vegetarian

Kosher

Halal

Gluten free

Other, please specify:

Please specify

Other, please specify:

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