Food Allergies and Sensitivities Form
To better serve you, please complete the following for our culinary team. A member of our management team will review and will contact you within 48-hours.
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Indicates required field
Child's Name
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First
Last
Your Name
*
First
Last
Your Phone Number
*
Please choose your child's allergies from the list below
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Fish
Shellfish
Tree Nuts
Peanuts
Dairy
Eggs
Soy
Wheat
Other
Other
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Your Email
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How severe is the allergy?
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What triggers the allergy? E.g. ingestion, inhaling, contact, etc.
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Does your child wear a medic alert bracelet?
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Yes
No
Does your child carry an EpiPen?
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Yes
No
Is there anything else we should know about your child's allergy?
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Submit
