Camp Koinonia Guest Dietary Needs

Camp Koinonia Guest Dietary Needs

Due before retreat arrival.
Guest Name*

First NameLast Name
Parent or guardian contact for minors

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Date arriving at Camp Koinonia *

MonthDayYear
Date
Name of Organization/Church Group*
Please note: Camp Koinonia does not have a dedicated allergen free kitchen. We accommodate the special dietary needs of our Guests on a case by case basis. Koinonia is dedicated to providing options at meals, such as; dairy milk alternatives, gf cereal options, fruit, and salad bar options. These are available to all guests regardless of dietary needs.

We evaluate each dietary need and communicate with you if we are unable to fully and safely provide food service during guest's stay at Camp Koinonia.
What is the guest dietary allergy or need?*

VegetarianVeganNo porkGluten/wheat AllergyDairy AllergyPeanut/Nut AllergyEgg AllergySoy AllergyCeliacOther
Please add food allergy if not listed above
Symptoms from food allergen*

MildModerateSevereEpi penManaged with medicationOther/ Not applicable
Please indicate symptoms from exposure to dietary allergen, and/or what does food service need to know in order to serve you safely? (Example: anaphylactic, contact allergy etc.)
Are there exceptions? (example egg allergy, but products that contain egg, like baked goods is ok, or dairy allergy but cheese etc. is ok)
This guest will need:*

Special Dietary specific meal accommodations provided by Koinonia Food Service (please note this option adds an additional charge per meal to your retreat total cost)To bring some foods to supplement the general meal offerings at Koinonia. Camp has a dietary fridge, microwave, and toaster oven in our main lodge for guest use. There is no kitchen access. (Does not affect retreat cost)No special food service accommodations. (Does not affect retreat cost)Other
Please contact us if you have any questions regarding food accommodations at Camp Koinonia.

Thanks,

Foodservice@campkoinonia.org
Please verify that you are human*
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