Pupil Dietary Requirements & Allergy Information

Please complete this form so we can safely support your child during EduKate Entrepreneurs workshops - GRANOLA MAKING GROUPS.

We do not use nuts, sesame seeds, sulphites or egg products in any sessions. However, we must know about gluten, dairy, and any other allergies or dietary requirements.

Section 1 — Pupil Information

Pupil name*

School*

Year group*

Section 2 — Allergy Information

EduKate Entrepreneurs does not use nuts, sesame seeds, or egg products in any workshops.

Does your child have any allergies?*

Yes

Please list all allergies

Severity

Does your child carry an EpiPen?

Yes

Section 3 — Gluten & Dairy Requirements

Does your child require a gluten-free diet?*

Yes

Gluten-free diet details

Does your child require a dairy-free diet?*

Yes

Dairy-free diet details

Section 4 — Other Dietary Requirements

Does your child have any other dietary requirements?*

Yes

Other dietary requirements details

Section 5 — Medical Information

Does your child have any medical conditions we should be aware of?*

Yes

Medical conditions details

Emergency contact name*

Emergency contact number*

Second emergency contact

Section 6 — Permissions

I confirm all information provided is accurate.

I give permission for my child to take part in EduKate Entrepreneurs workshops.

Parent/Guardian Signature*

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Date*

Day

Month

Year

katie@edukate-services.com

Tel: 07723375811

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