Student Dietary Form

Student Information

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Please enter the student's six digit CISD/Charms Student ID.

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Dietary Information

During the marching season, students will be offered meals, snacks, and beverages on over 40 different occasions. The cost for this is included in the students' band fees.

When the students are required to be at school to practice and then go to a football game, they will be provided a meal (that they will choose on a separate form) from one of three approved vendors.

When students are required to travel or are required to be at school for competitions, etc., at mealtime, they will be provided a meal from vendors selected by the Food Crew.

To enable us to offer the best nutrition to all students, please indicate below if the student named on this form has any food allergies, dietary restrictions or other needs. If the YES box is checked below, students will be required to meet with a Food Crew member to determine what substitutions, available from our vendors and within budget, will be suitable for them to eat.

YesNo NoYes
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If Yes, please check the food(s) to be avoided and indicate if Trace Amounts are acceptable.

Trace amounts are defined as when the food to be consumed "may contain" or has been "manufactured in a facility with, or on the same equipment as" the food to be avoided. 

Food

Trace Amounts Acceptable

 

YesNo NoYes
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YesNo NoYes
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Please specify any other foods that should be avoided and indicate if trace amounts of that food are acceptable.

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Please let us know if there is further information you woudl like to share regarding your child's dietary restrictions/needs.

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Parent Agreement

Parent Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Enter your email address here if you wish to receive a copy of this completed form.

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Student Dietary Form

Student Dietary Form

Student Information

Six Digit Student ID {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Student Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Student Mobile Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Grade (2021-22 school year) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Section {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Dietary Information

During the marching season, students will be offered meals, snacks, and beverages on over 40 different occasions. The cost for this is included in the students' band fees.

When the students are required to be at school to practice and then go to a football game, they will be provided a meal (that they will choose on a separate form) from one of three approved vendors.

When students are required to travel or are required to be at school for competitions, etc., at mealtime, they will be provided a meal from vendors selected by the Food Crew.

To enable us to offer the best nutrition to all students, please indicate below if the student named on this form has any food allergies, dietary restrictions or other needs. If the YES box is checked below, students will be required to meet with a Food Crew member to determine what substitutions, available from our vendors and within budget, will be suitable for them to eat.

Does the student have any food allergies or other dietary restrictions (lifestyle, religious, etc) that the Food Crew needs to be aware of? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Untitled

If Yes, please check the food(s) to be avoided and indicate if Trace Amounts are acceptable.

Trace amounts are defined as when the food to be consumed "may contain" or has been "manufactured in a facility with, or on the same equipment as" the food to be avoided. 

Food

Trace Amounts Acceptable

 

Gluten {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Trace Amounts {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Peanut {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Trace Amounts {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Egg {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Trace Amounts {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Dairy {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Trace Amounts {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Tree Nut {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Trace Amounts {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Chicken {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Pork {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Beef {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Turkey {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Other {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Additional Dietary Info {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Parent Agreement

Parent Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Parent Mobile Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Parent Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Parent Signature {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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