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Food Restrictions
Documenting allergies, food restrictions (ie: vegetarian, no pork, etc)
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* Indicates required question
Band
*
Choose
Varsity
JV
Student first name
*
Your answer
Student last name
*
Your answer
Student Email
*
Your answer
Student Cell
Your answer
Parent first and last name
*
Your answer
Parent Email
*
Your answer
Parent Cell
Your answer
Instrument?
*
Your answer
Grade?
*
9
10
11
12
Are you vegetarian?
*
Yes
No
Are you a vegan?
*
Yes
No
Which of the following do you eat?
*
Beef
Pork (ie: ham)
Chicken
Turkey
Eggs
None of the above
Required
Do you have any food related allergies?
*
Yes
No
If you answered yes to allergies, what are you allergic to?
Nuts
Eggs
Citrus
Shell Fish
Mushrooms
Gluten
Lactose
Dairy
Any other allergies not listed above:
Your answer
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