Special and Extreme Dietary Request Form

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At Glen Eyrie Conference Center, we are happy to assist you with the following dietary restrictions: Vegetarian, Vegan, Gluten Free, and Dairy Free. While we make every effort to ensure our substitutions will be allergen-free of the items listed below, we cannot guarantee this as cross-contamination is possible. So that we may better serve you, we ask that you please complete this form.

Email *

Name *

Email *

Phone Number *

Conference Name *

Date of Stay *

YYYY

Do you have a medically-necessary special diet/allergy consideration?

Vegetarian (see below for additional options)

Vegan

Gluten Free (The kitchen is not a certified gluten-free facility. Cross-contamination may occur; therefore, celiac guests cannot be accommodated and it is permissible to bring your own food.)

Dairy Free/Lactose Intolerant (see below for additional options)

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Vegetarian: Please check all that you can eat.

Fish

Eggs

Dairy

Lactose Intolerant: Please check all that apply.

Cannot eat any dairy products.

Lactose intolerant but can eat butter.

Lactose intolerant but can eat cheese.

Additional Information

When you arrive for your meal, as a matter of health and safety, guests with special diets (particularly those with extreme allergies) should speak with their dining server if there is any question about the ingredients in a particular food item. While we do our best to accommodate these special diets, please note that we are unable to make changes to accommodate personal preferences. If you have any questions, please ask one of our helpful staff members.

Thank you for visiting Glen Eyrie and providing us the wonderful opportunity to serve you!

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