Kindergarten Allergy, Intolerance & Dietary Form Please complete this form to ensure your child's safety and wellbeing while in our care. Please update us immediately if any information changes. Child's full name Date of Birth my child doesn't have any allegies Allergy detailsPlease list all known allergies (e.g., peanuts, penicillin, bee stings, latex). Allergy One: triggers ingestion (eating/drinking)inhalation (breathing it in)skin contact Typical Symptons and reactions Severity MildModerateSevere (Anaphylaxis Risk) Allergy Two: triggers ingestion (eating/drinking)inhalation (breathing it in)skin contact Typical Symptons and reactions Severity MildModerateSevere (Anaphylaxis Risk) Food Intolerances & Sensitivities Please list non-life-threatening food intolerances (e.g., lactose intolerance, gluten sensitivity) that cause discomfort, digestive issues, or rashes. Intolerance Triggers Reaction and symptoms strict avoidance needed yescan tolerate small amounts plan to follow if the child eats some of the food child Should be Empty: Submit This page uses TLS encryption to keep your data secure.
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