Nut-Free School Event Permission Slip

Student Name:
Grade/Class:
Event Name:
Event Date:
Location:

Nutritional Policy

This is a nut-free event. Please do not send any foods containing peanuts or tree nuts with your child. Thank you for helping us keep all students safe.

I have read and understand the nut-free policy.
Emergency Contact Name:
Emergency Contact Phone:
Allergies or Medical Concerns:
Parent/Guardian Signature:
Date: