myNutrition

Special Dietary Needs Form and Waiver

Conference Information
Beginning Date
Ending Date
Participant Information:
Cell/home
Parent/Guardian Information
Food Allergy(s)








Please list
Food Intolerances



Other
Other, please list:
Prior to the camp/conference, camp/conference participants or the participant's legal guardian are encouraged to contact Dining Services's Dietitian, Alice Ma, RD at (509)335-4785, alice.ma@wsu.edu. Dining Services will make every attempt to meet special diet and food allergy needs, but cannot guarantee food service for all food allergies/special dietary requirements.