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Educational Benefits Form FY22

Dear Families,
In efforts to match State compliance, any child needing or requesting a special diet that deviates from the school menu will be required to have Special Diet Statement Form on file in the school kitchen office. There are two Special Diet Statement Forms.  The first form is for participants with a disability that affects the diet.  This would be for children whose non-altered diet would be life-threatening due to an anaphylactic reaction.   The second form is for participants without a disability.  This would be for children with allergies or intolerances requesting a special diet. Please read the form carefully, as both forms have areas for parents/ guardians and certified medical personnel to fill out.  These forms must be filled out completely. It will not be necessary for future years to have a new form filled out unless there have been changes requested as the Special Diet Forms will remain on file for the remainder of your child’s NDMA school years.
Special Diet Statement without a Disability
Special Diet Statement with a Disability