Food Plan for Dietary Restrictions/Preferences 2020-21 Food Plan for Dietary Restrictions/Preferences If medication is required please complete the Allergy Emergency Plan Child's Name* First Last Please list each food you do not want your child eating* List appropriate food substitutes Parent/Guardian #1* First Last Parent/Guardian #1 Phone*Parent/Guardian #1 Email* Parent/Guardian #2 First Last Parent/Guardian #2 PhoneParent/Guardian #2 Email Signature*Today's Date* Date Format: MM slash DD slash YYYY
