IMS Gala- Dietary Restrictions Form

Dietary Restrictions Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number

Area CodePhone Number
Please select all of them below that describe you

I am VeganI am VegetarianI have food allergies
Food Allergies*

Fish/ShellfishEggsSoy productsGlutenDairy
***The Rizzo Center will not serve foods with nuts with them, however the venue does not follow IMS' nut allergy policy, and food may be prepared in a facility that also processes nuts.
Please give additional detail about your diet here:
Should be Empty: