Food Service Dietary Request Form

/Food Service Dietary Request Form
Food Service Dietary Request Form2018-09-05T07:50:16+00:00

Summer Camp Dietary Restriction Notification

  • Attendee Name [First, Last]
  • What type of unit does the attendee belong to?
  • What is attendee's Unit number?
  • What is the best phone number to contact attendee's parent/guardian?
  • What is the best phone number to contact attendee?
  • What is the best email address to contact attendee's parent/guardian?
  • What is the best email address to contact attendee?
  • Which Summer Camp will you be attending?
  • Are you a Boy Scout or Cub Scout?
  • What are the dates of camp you will be attending?
  • Please describe the type of dietary restriction in detail.
  • Please select all that apply. Shift+Click to select multiple.
  • If you selected "Other" [above] please explain.
  • What is the severity of the allergy? i.e. anaphylactic
  • What are the symptoms experienced by participant? i.e. vomiting
  • Is allergy controlled by medication? Yes/No, if yes, what medication(s) are prescribed?
  • If medication is prescribed, will participant have medication(s) at camp? If yes, what is the prescribed dosage?
  • What are some substitution ideas?
  • Is there any other information you can provide that would be useful to our Food Service Staff to ensure for an awesome week at camp?

The Scout Oath

On my honor, I will do my best
To do my duty to God and my country and to obey the Scout Law;
To help other people at all times;
To keep myself physically strong, mentally awake and morally straight.