2024 Emerald Bay Outdoor Academy Special Requests

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This form is used for schools that have special requests for food allergies, dietary needs, medical needs, etc.

School Name *

Name of Individual Completing Form *

Your Email *

Your Phone number *

Are you completing this form for yourself or student? *

If student, please enter student name below.

Self (Over 18 only)

Student (Under 18)

Student first name and last initial

What is your relationship to student?

Parent/Guardian

School Nurse

School Teacher/Faculty

Other

Are there any food allergies or dietary restrictions? *

If yes, please describe below.

Yes

Food Allergies or Other Dietary Restrictions

We operate a peanut free kitchen, and serve meals for vegetarian, gluten, and lactose free diets. Please note: our Ship Store does sell candy with peanut/peanut butter and tree nuts, which are available for purchase in a separate building.

Are there any Medical Needs or Special Accommodations? *

If yes, please describe below.

Yes

Medical Needs or Special Accommodations

Additional Requests or details that will help us support you/your student

Submit

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