PTA Spring Party Snack Exemption Form

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Parents,

PLEASE fill this form out ONLY if your child can NOT have the snack or drink provided- noted below.
Your child is welcome to bring a snack from home for the party on Friday, March 22nd to have in its place.

If you have any questions, please reach out to us at ggdodgePTA@gmail.com. All forms are due by Monday, February 5, 2024.

Apple Juice Ingredients:

100% Apple Juice (Water sufficient to reconstitute Apple Juice Concentrate), Natural Flavors, and Citric Acid. COMMON ALLERGENS PRESENT: None.

Cheetos Ingredients:

Whole Corn Meal, Enriched Corn Meal (Corn Meal, Ferrous Sulfate, Niacin, Thiamin Mononitrate, Riboflavin, Folic Acid), Vegetable Oil (Corn, Canola, and/or Sunflower Oil), Whey, Cheddar Cheese (Milk, Cheese Cultures, Salt, Enzymes), Salt, Maltodextrin (Made from Corn), Natural and Artificial Flavors, Whey Protein Concentrate, Monosodium Glutamate, Lactic Acid, Citric Acid, and Artificial Color (Yellow 6). COMMON ALLERGENS PRESENT: MILK

Email *

Student Name *

Teacher name *

Please check appropriate boxes for your Student

My child may NOT have the Cheetos, Crunchy Baked, Cheese.

My child my NOT have the Totally Juice Apple Juice Box.

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