Someries Infant School and Early Childhood Education Centre's Special Diets and Allergy Form

Your child's name* This field is required.

First Name

Last Name

School meals at Someries Infant School and Early Childhood Education Centre

Aspens Services Limited manages our school catering service, and all meals are freshly prepared daily by our on-site Catering Team.

When your child begins Someries Infant School and Early Childhood Education Centre, they will receive a daily meal. They can select their meal from a menu of daily options consisting of two hot meals and various alternatives, including jacket potatoes and freshly-filled sandwiches and rolls.

Our school catering provider can accommodate any dietary requirements your child may have. We will share the dietary information you supply in this form with our Catering Manager.

Aspens Services Limited are committed to providing meals for pupils with special dietary requirements due to medical, religious and cultural reasons or due to lifestyle choices.

All parties concerned must work together when providing a safe, special diet, which is reviewed with every menu change. Therefore, please complete this form in full based on the options presented.

Based on your responses to this form, a 'Food Allergy Notice' will be displayed in our School Kitchen. This will contain a photograph of your child and a list of their food allergies, intolerances or special diet due to religious or cultural reasons or lifestyle choices. This will only be visible to colleagues working in our School Kitchen and will not be publicly displayed.

You must accompany your responses to this form with a referral letter from a medical professional, for example, your child's General Practitioner, consultant or dietitian. This can be uploaded using an option presented within the form. Alternatively, please email this information to admissions@someries.infantluton.co.uk or provide a paper-based version to our School Office.

Once you have completed this form, it will be shared with our Catering Manager, who may arrange a meeting to discuss your child's dietary requirements.

Does your child have a known food allergy or intolerance?* This field is required.If your child has no known food allergy or intolerance, you can state any dietary requirements based on religious or cultural reasons or lifestyle choices later in this form.

YESNO

Information about your child's food allergy or intolerance.* This field is required.Please select all allergens that apply

peanut

milk

crustacean

soybean

fish

celery

nuts

sesame seeds

mustard

lupin

eggs

molluscs

gluten

sulphites

Other

Please provide details of the nature of the allergy or intolerance here.* This field is required.

Has the allergy or intolerance been medically diagnosed?* This field is required.

YESNO

If you can, please use this option to upload any referral letters from a medical professional, for example, your child's General Practitioner, consultant or dietitian. Alternatively, email this information to admissions@someries.infantluton.co.uk or provide a paper-based version to our School Office.

Drag and drop files here

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Does your child exclude foods from their diet for religious or cultural reasons or lifestyle choices?* This field is required.

YESNO

Please provide details of the dietary requirements based on religious or cultural reasons or lifestyle choices.* This field is required.

Aspens Services Limited use a colour coding system to identfy pupil requirements.

These categories are:

RED: Your child has had a severe reaction/ anaphylactic shock
AMBER: Your child has an allergy or intolerance
BLUE: Your child excludes foods from their diet due to religious or cultural reasons or lifestyle choices

You will be asked on the following page to identify which category your child should be assessed as.

If your child is identified as RED, a meeting will be arranged between Aspens Services Limited and you to agree actions. Without this meeting, Aspens Services Limited will be unable to cater for your child due to the risk.

Please indicate which category your child should be assessed as.* This field is required.

RED: Your child has had a severe reaction/ anaphylactic shock

AMBER: Your child has an allergy or intolerance

BLUE: Your child excludes foods from their diet due to religious or cultural reasons or lifestyle choices

I understand that, whilst Aspens Services Limited can provide meals which do not include allergens, Aspens Services Limited cannot guarantee that dishes may contain traces of allergens, as they may be stored, prepared and cooked in the same kitchen. Similarly, I understand that allergens may be present in some ingredients used by Aspens Services Limited from its suppliers due to production techniques.* This field is required.

YESNO

I confirm that the information supplied in this form is correct and that I will notify Aspens Services Limited and Someries Infant School and Early Childhood Education Centre of any changes to my child's dietary requirements immediately. * This field is required.

YESNO

I give permission for the information supplied in this form to be displayed as part of a 'Food Allergy Notice' which will be displayed in our School Kitchen. This will contain a photograph of your child and a list of their food allergies, intolerances or special diet due to religious or cultural reasons or lifestyle choices. This will only be visible to colleagues working in our School Kitchen and will not be publicly displayed.* This field is required.

YESNO

Name of person completing this form* This field is required.

First Name

Last Name

Email address of person completing this form* This field is required.

example@example.com

Privacy notice - how we use pupil information.* This field is required.

Please verify that this form has been completed by a human.* This field is required.

Someries Infant School and Early Childhood Education Centre's Special Diets and Allergy Form