IMS Gala- Dietary Restrictions Form

Dietary Restrictions Form
GALA MENU

SALAD
- Deconstructed Chopped Salad: Bacon, Chopped Egg, Green Onion, Tomatoes,Shredded Carrots, Blue Cheese, and Dressing
MAIN
- Jerk Marinated Chicken Thighs with Mango Puree
- Beef Tenderloin with Chimichurri and side of Black Bean Poblano Relish
SIDES
- Broccolini
- Buttermilk Chive Potatoes
- Cilantro Rice
DESSERT
- NY Cheesecake
- Gluten Free Flourless cake
***The venue 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.
Name*

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

Area CodePhone Number
I am VeganI am VegetarianI am PescatarianI have food allergies
Fish/ShellfishEggsSoy productsGlutenDairyOther
Please give additional detail about your diet here:
Should be Empty: