Request edit access
Please bring Food Allergy Training and/or Epinephrine to my child's school. 
The Belay team is made up of parents of children with food allergies, so we live this and understand. We want to make sure all food-allergic children are safe at daycare and school. Please let us know if you'd like Belay to train and certify staff at your child's school. 
Sign in to Google to save your progress. Learn more
Email *
Email *
What is the name of your child's school *
What state is their school located in? *
Who should we reach out to (first name) *
Who should we reach out to (last name)
*
What is the contact's email address? *
Do you want us to contact you with updates on your child's school's response? If yes, what's the best email address to send updates to? 
*
Required
If you're comfortable, please tell us what food(s) your child is allergic to (this is to helps us understand which children are being underserved in the food allergy community)
Anything else we should know?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of webelay.com. Report Abuse