EmailMe Form - Special Diet Information

What diet/s are you?

Does this include avoiding products that state "May Contain Traces?" *

YES

NO

Does this include Inhalation/Coming into contact with as well as Digestion? *

YES

NO

How serious is your diet *

Attendees Name *

First Last

Name of Parent or Guardian?

First Last

Contact Number *

We will use this number to contact you if we require further information.

Name of School/Group you are attending Camp with *

First day of your visit *

DD / MM / YYYY

Last day of your visit *

DD / MM / YYYY

Attendee's Age *

Email *

Can you manage your diet on your own? *

Yes, but I am a child

Yes, I am an adult

No

Please list in detail your dietary restrictions, either by clearly stating the limited foods you CAN eat OR the restrictions on food you CANNOT eat, whichever is easiest to describe your diet. Please note this is NOT a preference sheet.

Camp Clayton does not have a specialised Dietitian and cannot be held responsible for dietary problems beyond the information given.

If you require specific food brands, please list these, with the understanding that an extra cost may apply in addition to surcharges stated above.

I am ABLE to eat:
(Please provide as much information as possible)

I am UNABLE to eat:
(Please provide as much information as possible)

Please provide any other information you feel we should be aware of:

File Upload

If you have more information that you think would be of assistance, please feel free to upload it.

Please note that Camp Clayton reserves the right to advise that we are unable to cater for your dietary requirements. After assessing your request, the Kitchen Manager/Chef will contact you if we are unable to meet the requirements of your diet.

Camp Clayton also reserves the right to apply an additional late fee for dietary requirements submitted within 7 days prior to the commencement of your camp.

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