IE Completion - San Mateo,CA- Nov 3-4, 2018- Doctor Prescribed Dietary Restrictions Form
Please mention if there are any food allergies or any special needs that we need to know.
Diet - Special needs. Please check items below that are applicable:
Diabetic (You require less/no sugar)
Details and Other Allergies * -- Please describe the above listed allergies in more detail if needed, or list any other allergies you may have here
Other types of special needs -- Please describe any other special needs here
Program seating - special needs. Please check as applicable
Cannot sit on the floor, will require a chair
Have hearing impairment, so need to be close to the speakers
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