Permission for Food-related Activities and Special Occasion Food Consumption

Dear Parent/Guardian,

 

Pursuant to prevailing regulations, it is important that child care facilities must obtain written permission from parents/guardians regarding a child’s participation in food-related activities. These activities include such things as: classroom cooking projects, gardening, school wide celebrations, birthdays, and activities that include food prepared and/or purchased by families.

 

We would want you to know that there will be a lot of these food-related events that will be hosted by our school this coming school year. Consequently, we would want to secure permission from you for your child’s attendance in these events. In completing this form, you will express your intention to allow or not allow your child to join.

 

I understand that it is my responsibility to update this form in the event that my child’s food permissions change. I agree that this form will remain in effect during the term of my child’s enrollment or until changes are made in writing by completing an updated form.

Child’s Name:  %child_first_name% %child_last_name%

 

Options

My child DOES NOT have a food allergy or dietary restriction. He or she may participate in all food related activities.
My child DOES have a food allergy or dietary restriction. He or she MAY NOT PARTICIPATE in food related classroom activities.

Please list and describe food allergies or dietary restrictions.

Name of person to contact in case of emergency.

Phone number of person to contact in case of emergency.

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