100 Elk Rental Group Food Information Request Form:
Please help us meet the dietary needs of your group by providing the following information:
Email address *
Main Contact Name (First and Last)
Your answer
Group or Event Name *
Your answer
Brief Description of Program or Event
Your answer
Event Start Date: *
MM
/
DD
/
YYYY
Event End Date: *
MM
/
DD
/
YYYY
Total Number of Participants: *
Your answer
Food/Diet Preferences (NOT Health Related)
Please indicate the number of participants per category and relevant details
Vegetarians (NO Fish, Poultry, Red Meat):
Your answer
Vegans (NO Dairy, Eggs, Honey, Gelatin, Rennet, other animal byproducts):
Your answer
No Pork:
Your answer
Low Carb/NO Carb/Gluten Free/Paleo (By choice, not health related):
Your answer
Specific Dietary Needs (Health Related Allergies)
Lactose Intolerant (Non-dairy and/or Lactose Free):
Your answer
Gluten Free (Celiac Disease):
Your answer
Soy (Beans, Oil, etc.):
Your answer
SEVERE Allergies including Anaphylactic Response
Please include names and any additional notes that will help us to better serve your participants. Does the participant carry an Epi-pen?
Tree Nuts:
Your answer
Peanuts:
Your answer
Eggs:
Your answer
Fish/Shellfish (Please specify)
Your answer
Other SEVERE Food Allergies (Please Describe)
Your answer
Allergy/Diet Need Combinations
For ease of meal planning, please make notes here if a participant falls under multiple categories otherwise we will assume each issue is related to just the number of individuals noted. (i.e. John Smith is lactose intolerant has celiac disease and is also a vegetarian) *
Your answer
Disclaimer & Liability
Please be aware that due to liability, if a severe allergy is noted, that food item will be unavailable to any of the group (i.e. no peanut butter available if there is a peanut allergy). We appreciate your understanding and support around these issues. THANK YOU!
Disclaimer: The 100 Elk Outdoor Center makes every effort to create a safe eating environment for all our guests, but makes no guarantee, written or implied, as to the safety of an individual with food allergies. Please mark that you have read the above statement: *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Adventure Unlimited. Report Abuse - Terms of Service