Event Catering: Food Allergies and Dietary Requirements Form

Name*

First NameLast Name

Name of Event/ Booking Reference*

Date of the Event*

Example: 7/ 01/ 2019

Do you have any food allergies? ( Tick all that apply)*

If other or specify, please enter below

Please describe the severity of your allergy ( e.g. mild, severe, anaphylactic):*

Do you have any specific dietary requirements or preferences? ( Tick all that apply)*

If other or to specify, please enter below:

Additional notes or instructions regarding your dietary needs:*

Any information that could helps us to deliver a good service.

Signature