subject_line
Snack Club Allergy & Dietary Restrictions Form
Your Centre Name
*
Delivery Schedule
*
Tuesday/Thursday
Wednesday/Friday
Region
*
Your Name (Staff)
*
Your Email Address
*
Who is your RFRK client experience coordinator?
*
Sabrina
Russell
Hannah
Kim
Leticia
What can we do for you today?
*
ADD a child to the Allergy Program
UPDATE a child's existing Allergy profile
REMOVE a child permanently from the Allergy Program
SUSPEND a child temporarily from the Allergy Program
TRANSFER a child's existing allergy profile to another centre
Child/Staff Name (First and Last)
(Note: for Allergy Removals, Suspensions, and Transfers you can enter multiple names if the request is the same for all children/staff)
*
What would you like to update for this child? (please check all that apply)
*
Allergy Program Registration Dates (as indicated below)
Age Group
Enrolled During these Days of Week
Meal Type Enrollment (AM Snack/Lunch/PM Snack)
Allergies/Dietary Restrictions
List the specific dates that this child/staff will not be in attendance:
(We will cancel the substitutes that were scheduled for this individual during these dates. We require at least 3 full business days notice to suspend their profile.)
*
Desired Start Date
Tues/Thurs Deliveries
(Note: forms submitted after 4pm are processed the next business day)
*
🛈
+
Desired Start Date
Tues/Thurs Deliveries
(Note: forms submitted after 4pm are processed the next business day)
*
🛈
+
Desired Start Date
Wed/Fri Deliveries
(Note: forms submitted after 4pm are processed the next business day)
*
🛈
+
Desired Start Date
Wed/Fri Deliveries
(Note: forms submitted after 4pm are processed the next business day)
*
🛈
+
Desired End Date
Wed/Fri Deliveries
Not Required
, but you may enter an end date if you know the last day this child will be at your centre (example: temporary transfer to your centre).
+
Desired End Date
Tues/Thurs Delivery
Not Required
, but you may enter an end date if you know the last day this child will be at your centre (example: temporary transfer to your centre).
+
LAST DAY you require allergy substitutes scheduled for this child/staff
Tues/Thurs Deliveries
(Note: forms submitted after 4pm are processed the next business day)
*
🛈
+
LAST DAY you require allergy substitutes scheduled for this child/staff
Wed/Fri Deliveries
(Note: forms submitted after 4pm are processed the next business day)
*
🛈
+
*
Centre Name
Child is leaving (i.e. remove child from this original centre):
Centre Name
Child is moving to (i.e. add child to this new centre):
Centre Name
Note for Transfers:
The child's AGE GROUP and DIETARY RESTRICTIONS from the original centre will be transferred as is to the new centre.
Please let us know how we can set up their days enrolled and meal type at the new centre:
Enrolled during these Days of the Week
*
All Days (Monday to Friday)
Monday
Tuesday
Wednesday
Thursday
Friday
Desired Date You Want the Transfer to Start
Wed/Fri Deliveries
(Note: at least 3 full business days notice is required, forms submitted after 4pm are processed the next business day)
*
🛈
+
Desired Date You Want the Transfer to Start
Tues/Thurs Deliveries
(Note: at least 3 full business days notice is required, forms submitted after 4pm are processed the next business day)
*
🛈
+
Meal Type Enrollment
*
AM Snack
Lunch (summer clubs only)
PM Snack
Meal Type Enrollment
*
AM Snack
Lunch (summer clubs only)
PM Snack
Desired End Date
When You want this Transfer to Stop
Not required, but you may enter an end date if this is a temporary transfer to the new centre (i.e. the child will return to the original centre)
+
Form Completed! Please click 'Next' to submit!