Culinary Tour Dietary Restrictions Form
Full Name
Email Address
Dietary Restrictions
Vegetarian
Vegan
Gluten-Free
Dairy-Free
Nut Allergy
Shellfish Allergy
Other
If "Other" or further details, please specify:
Severity of Reaction (if applicable)
Mild
Moderate
Severe/Anaphylaxis
Required Actions in Case of Exposure