Conference/Camp Food Allergy & Special Dietary Form

Please submit form at least 2 weeks prior to the start of the conference/camp.

Conference/Camp Name(Required)

Conference/Camp Start Date(Required)

Name(Required)

First Last

Phone(Required)

Email(Required)

Food Allergies/Intolerances/Special Dietary Needs(Required)

Peanut

Gluten

Dairy

Shellfish

Tree Nuts

Other

Other Food Allergies/Intolerances/Special Dietary Need(Required)

Other Special Diet Needs/Restrictions/Requests

All late requests will be addressed on a case by case basis. University-Wisconsin Milwaukee Restaurant Operations will make every attempt to meet all special dietary and food allergy needs but cannot guarantee foodservice for all food allergies/requests. All menus that contain dietary information are provided for a reference only. Items may contain allergen ingredients w/out prior notice due to manufacturer or unit substitutions.