Carmel Clay School participates in a federally funded Child Nutrition Program and any meals, milk, a 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the student’s name and date of birth in the designated fields. This information is crucial for identifying your child.
3. Fill in the parent/guardian's name, grade level/classroom, school/site, and contact phone number. Ensure all details are accurate for effective communication.
4. Provide a detailed explanation of how the student's allergy, disability, or impairment affects their diet. Be specific to ensure appropriate accommodations.
5. Indicate whether the student has a life-threatening food allergy by checking 'YES' or 'NO'. If 'YES', specify the allergy.
6. Select if the student wishes to eat school meals by choosing one of the options: YES, NO, or SOMETIMES.
7. List any foods that should be omitted or require accommodations. The more specific you are, the better we can assist.
8. Sign and date the form at the bottom as a confirmation of your request.

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