Meal Prep Service Allergy Disclosure Form

Full Name

Email Address

Do you have any food allergies? (Check all that apply)

Dairy Eggs Fish Shellfish Tree Nuts Peanuts Wheat Soy Sesame

Other Allergies (please specify)

Special Instructions or Notes

I understand that while the meal prep service will take reasonable precautions to avoid cross-contact, it cannot guarantee that any meal is completely free of allergens.

I acknowledge and accept the above statement.