Dietary Accommodations
GSLP strives to accommodate your family's ethical, cultural, or religious dietary restrictions when serving food to your child at school. Please use the following form to describe any special diet your family follows that you would like your child to follow at school. List any food allergies or restrictions due to chronic medical conditions on the Health Care Plan as well.
Email address *
Child's First Name *
Your answer
Child's Middle Name
Your answer
Child's Last Name *
Your answer
Child's 2017-2018 Class *
Dietary Information
Dietary Restrictions
Please check below if your child should adhere to any of the following dietary restrictions:
Describe Dietary Restrictions
If you checked a dietary restriction above, please describe anything GSLP should know about your child's dietary restrictions so that we can help your child adhere to them.
Your answer
Specific Food Restrictions
Check off any food items your child **SHOULD NOT** be served at school. ITEMS THAT YOU CHECK OFF BELOW WILL **NOT** BE SERVED TO YOUR CHILD AT SCHOOL. Do not check off items your child simply does not like to eat. We encourage but do not force children to try new foods at preschool as part of teaching children about health and nutrition.
Milk in Processed Food
If you checked "Milk" or "Milk Products" above: May your child have milk if it is part of a cooked or processed food, such as cake or crackers?
Eggs in Processed Food
If you checked "Eggs" above: May your child have eggs if they are part of a cooked or processed food, such as cake or crackers?
Other Foods to Avoid
Please list any other foods to avoid and state the reason they should be avoided. Be sure to list any food allergies or medical dietary restrictions on your child's Health Care Plan as well.
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Good Shepherd Lutheran Preschool. Report Abuse