Greater St. Louis Area Council - Summer Camp -Special Diet Request Form

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Each Scout, Adult, and Staff member attending a Greater St. Louis Area Council Summer Camp who have food allergies or other special dietary needs in 2024 must complete this form at least 2 weeks prior to attending camp.

Our food service providers are happy to accommodate any diet for religious, medical or allergy needs. In extreme cases, we may not be able to meet the dietary needs of an attendee, in which case storage and preparation space can be made available.

1. Participant's First Name *

1. Participant's Last Name *

What type of camper are you? *

Unit Type *

Unit # *

Patrol Name (Camp Gamble Only)

Camp Attending

What campsite will you be staying on? *

Date Attending (List the first date of the session you are attending). *

YYYY

First name of Parent/Guardian (Type N/A if for an adult) *

Last name of Parent/Guardian (Type N/A if for an adult)

Phone *

Email *

Please mark the allergies, medical, or religious restrictions that apply below: *

Milk Allergy

Egg Allergy

Peanut Allergy

Tree Nut Allergy

Fish Allergy

Shellfish Allergy

Wheat Allergy

Gluten Intolerance/Allergy

Soy Allergy

Lactose Intolerant

Vegan

Vegetarian

Other

Required

If you selected "Other" above, please explain here.

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