DIETARY NOTIFICATION FORM

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Important Notice Regarding Dietary Requests
For Resident Summer Camp and Scouts BSA Winter Blast Only

To ensure we can make the necessary accommodations, this form must be received at least 10 days prior to your arrival at camp.

Due to the rising cost of food, we are now only able to accommodate documented food allergies (e.g., gluten-free) and religious dietary restrictions.

You are welcome to bring additional food items to camp, and refrigeration can be provided upon request.

Please fill out one form per person.

Email *

Camp dates/week attending? *

Week 1

Week 2

Week 3

Scouts BSA Winter Blast

Unit Number *

Name of person with dietary restriction (include first and last) *

Please indicate if youth or adult? *

Youth

Adult

Form of restriction *

Medical food allergy

Religious dietary

Type of restriction (for example, gluten-free, no pork, etc.)? *

Any additional information that would be helpful to our food service department?

Send me a copy of my responses.

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