Students with Special Dietary Needs: Religious/Cultural Restriction Form
Central Christian Academy
Due to Indiana state guidelines, preschool students ARE NOT allowed to pack lunches/meals unless they fill out a dietary restriction form for medical, cultural, or religious reasons. For medical reasons, a doctor’s note must be included.
By signing this document, I acknowledge that my child follows a special diet due to religious/cultural preferences and will be choosing to pack their own lunch/meals based upon this decision. If my child does not come with a packed lunch, I am allowing my student to eat what is provided via the school (within dietary restrictions).
Please complete this form to add a religious/cultural restriction to his/her meal account.