Non-Medical Dietary Requests for CHUFSD Child Nutrition Program
If your child has a medical allergy, please contact your school nurse to modify and/or confirm your child's record.

If you would like to make a non-medical request, please submit your request via this form.

Example: ("Gluten Intolerance", "No Sweets for my child on Wednesdays" or "No chips for my child on Fridays")
Parent/Guardian Name
Your answer
Your answer
Student Name
Your answer
Grade Level
Non - Medical Dietary Request:
Your answer
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