Purpose of the Food Allergy Form
This form is used to provide essential information about a child’s food allergies. It ensures that the school is aware of any allergies and can take appropriate measures to prevent exposure and respond to allergic reactions. Parents or guardians should fill out this form to ensure the safety and well-being of their child during school hours and activities.
Parent/Guardian Consent:
By signing this form, I, the undersigned parent or guardian of the named child, acknowledge and agree to the following:
- Responsibility for Information
I confirm that the information provided in this form is accurate and complete to the best of my knowledge. I agree to inform the school in writing of any changes to my child’s food allergies or emergency action plan.
- School’s Role
I understand that the school will make every reasonable effort to prevent my child’s exposure to allergens and to follow the provided emergency action plan. However, I acknowledge that the school cannot guarantee a completely allergen-free environment.
- Release of Liability
I release the school, its employees, and representatives from any liability or claims related to accidental exposure to allergens or the administration of emergency medication, provided they have acted in good faith in accordance with the information and instructions provided in this form.
- Automatic Assumption in Absence of Form
I understand that if this form is not completed and returned, the school will assume that my child does not have any food allergies that require special attention.
- Questions and Clarifications
Any questions or concerns regarding the school’s food allergy policies or procedures can be directed to the Main Office at:
Address
Email
Phone Number
