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[PKS] Camp Dietary Restrictions
Thank you for joining us at Moonshot Labs for STEAM Superstars Camp! Please fill out the following form by
Friday, May 26, 2023
for your little scientist to have a safe and fun camp experience.
All food ingredients are purchased from Whole Foods or Trader Joe's, except
Edible Insects
and
Miracle Berries
.
CONTACT
If you have any questions, feel free to reach us at
moonshot.science@gmail.com
or
(530) 407-3224
.
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* Indicates required question
Parent Name
*
Your answer
Parent Phone Number
*
Your answer
Parent Email
*
Your answer
Child's Full Name
*
Your answer
Child Birthdate
*
MM
/
DD
/
YYYY
What
food allergies
does your child have?
*
NONE
Eggs
Milk
Nuts of any kind (peanuts, tree nuts etc.)
Soy
Shellfish
Wheat
Other:
Required
How severe are your child's allergies?
*
NA
Mild
Moderate
Extreme
Is your child allowed to taste test any of the following?
-
Edible Insects
: snack on alternative sources of protein and join 2 billion
insect munchers who snack on bugs as a regular part of their diets!
-
Miracle Berries
: m
iracle berries are a fruit that alters the perceived taste of sour foods. When you eat a miracle berry, any acidic food subsequently consumed tastes sweet. The effect lasts for 30-60 min.
*
All food ingredients are purchased from
Whole Foods or Trader Joe's
, except
Edible Insects
and
Miracle Berries
.
*
Edible Insects
Miracle Berries
Sweets such as ice cream, chocolate (all organic made from scratch)
None
Required
Are there additional details we should know about allergies, special diet needs, or restrictions?
Your answer
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