Meal Plan in Residence Exception Form

Meal Plan in Residence Exception Form
Dietary Restrictions:
Choose one option that best explains your restriction
Specific Allergies:
Program Restrictions: All Prairie programs that have required events that conflict with the meal plan have been accounted for. Aviation, Nursing, Sport, Discover, Explore and Worship programs are automatically enrolled in a special meal plan.

If you are in another program and have idenitified a conflict please note it below.
Additional Restriction
Name

First NameLast Name
E-mail*
Please push submit and read the immediate response. Contact the Food Services Manager if further clarification is needed on what can be supplied in the dining hall.

Note: Having one or more of the above conditions may or may not excuse you from the meal plan
Should be Empty: