2025 Melita Island Special Diet Request
If you or your child require dietary accommodation, please complete this form AT LEAST THREE WEEKS prior to arrival at summer camp.

NOTE: Our food service staff is able to accommodate most reasonable dietary needs, including vegetarian, religious, medical, or allergy-related accommodations. However, we are not able to accommodate dietary preferences. Depending on the type of alternative food products required, additional costs may be charged. Likewise, you may need to provide your own alternative food items for certain dietary requests, which we are able to store during your stay at camp.

Due to the constraints of a summer camp environment, we cannot guarantee an allergen-free environment. While allergy-related accommodations/foods are prepared separately, they are prepared in a kitchen which also prepares egg, milk, nut, wheat, soy products, and other potential allergens; and cross-contamination can occur. If your/your child's allergy is severe, please contact the camp to discuss if the camp's procedures and protocols can properly meet your/your child's needs.

In attending/sending your child to camp, the family acknowledges that the camper has reasonable knowledge of his/her dietary constraints and can manage his/her own food choices, including self-advocacy. Each camper with a special dietary plan will interact with the camp food service staff on arrival day to discuss the individual's plan.
Sign in to Google to save your progress. Learn more
Session Attending *
Camper First Name *
Camper Last Name *
Unit/Troop Number *
Scout or Adult *
Parent Name (if under 18)
Phone number (Parent phone if under 18) *
Email address (Parent email if under 18) *
Please identify and describe your dietary restriction *
Please also include information as to the severity of any allergy (mild, moderate, severe/life-threatening)
Suggested Alternative Food Items
Acknowledgement
In consideration of my/my child's participation in summer camp, I acknowledge that I/my child have reasonable knowledge of his/her dietary constraints and can manage his/her own food choices, including self-advocacy. I understand that each camper with a special dietary plan will interact with the camp food service staff on arrival day to discuss the individual's plan.

I further acknowledge that, due to the constraints of a summer camp environment, an allergen-free environment is not guaranteed.
I have read and agree to the above statement. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Montana Council, Scouting America.

Does this form look suspicious? Report

Google Forms