Culinary Tour Allergy Disclosure Form
Full Name
Email Address
Phone Number
Allergy Information
Please indicate any food allergies:
Nuts
Gluten
Dairy
Shellfish
Eggs
Soy
Other
If other, please specify:
Describe your allergic reaction(s) and severity:
Do you carry medication for your allergy? If yes, please specify:
Consent
I understand that while all reasonable efforts will be made to accommodate my allergies, absolute avoidance of specific allergens cannot be guaranteed.
Signature
Date