Special Dietary Request Form
Must be submitted by July 15 so that camp can purchase food supplies.
Camper name
*
First Name
Last Name
Camper's preferred first name
*
Gender
*
Male
Female
Birth date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
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5
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Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
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2009
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Year
Age group
*
2-4 grade division
5-6 grade division
7-9 grade division
10-12 grade divison
CILT camper
Adult counselor
Parent/Guardian Contact Information
If we have any questions about your dietary request, we need to know who to contact.
Parent/Guardian name
*
Relationship
*
Cell Phone
*
-
Area Code
Phone Number
Email (confirmation will be sent by email)
*
example@example.com
Food Allergies/Digestive Disorders/Special Diets
Note: Due to the limited availability of products near camp, please be prepared to bring some meal alternatives to camp with you (i.e. snacks, etc.) or contact Frontier Camp immediately so other arrangements can be made. At this time, our kitchen is NOT equipped to accommodate requests for VEGAN options. If your diet includes vegan items, please bring food to camp with you for the week.
List any food allergies and note severity. Please specify if allergy is limited to eating food alone or as an ingredient in another dish.
List any digestive disorders and specify restricted foods.
List any special diet requests or instructions.
List any diabetic instructions. Please specify if Type 1 or 2 and give any special needs.
Submit
Should be Empty: