Thank you for taking the time to complete this form.
Please update this form if anything changes and notify the Administration Office.  It should take no more than 5 minutes to complete.

Please note:
All Menu items “may contain” traces of Allergenic Ingredients due to food being processed on equipment and in an environment where all food types are produced.

The Chef responsible for producing the menu items will respond to any queries from customers on request, as per the Allergen Management procedure.

If family members or regular guests need to notify us of Allergens or Dietary Requirements, please complete this form for each person and notify the Administration Office.

Please be advised if this process is not followed there will be no special meal provided or kept aside for you.

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* 1. Name:

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* 2. Please indicate which category/ies apply:

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* 3. Date you completed this form.

Date

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* 4. Have you completed this form before (i.e. is this updated information)?

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* 5. If this form being completed by someone other than the person named in Q1, please indicate this below.

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* 6. Are there regular days or meals that you know you will be eating in the dining room? If so, please indicate these below.

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* 7. Allergens & dietary requirements (select all that apply)

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* 8. Do you carry an Epipen or similar?

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* 9. Please indicate a next of kin contact number or emergency contact number.

This number should be for someone local who can respond quickly in a case of emergency. We will keep this information private and only use it if necessary.

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* 10. Have you had your photo taken at Morling College Admin for the Special DIETS LIST?
If not, please see the Morling Admin office as soon as possible or contact them via email with a digital passport sized photo.

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* 11. Do you need to notify us of anything else?

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