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Special Dietary Needs

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					                                                  STUDENT NAME_____________________________



                                   SPECIAL DIETARY NEEDS


          Festival lunches are excellent, and there will be plenty of food! A large salad is always served, and
fruit, cookies, snacks are served at breaks. We try to meet special dietary needs, and will call you if tell us
about food allergies or intolerance.


STUDENT NAME_______________________________________

PHONE _____________________________________________

PARENTS’ NAMES _____________________________________

Do you have any dietary restrictions?
________________________________________________


Are you allergic to any foods?

______________________________________________________________________________




If you list any serious problems, I will call you to discuss our menu.

                                  Please complete and mail this form to:
                                              Mitch Newman
                                             Hilltop Boot Camp
                                            5237 Nagle Avenue
                                              Sherman Oaks
                                                  CA 91401

				
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