Allergy Consent Form

Help us keep your child safe by providing allergy information

Safety first

Why This Form is Important:

  • Helps us identify potential allergens
  • Ensures we have emergency contact information
  • Allows us to provide the safest experience
  • Required before your child's first visit

Family Information

Allergy Information

Please list any known allergies, food sensitivities, or dietary restrictions
Common Allergens in Our Products:
  • Citrus fruits (lemons)
  • Natural fruit flavoring (may contain traces of nuts)
  • Food coloring (artificial)
  • Sugar and sweeteners
  • Dairy products (milk, ice cream)

Emergency Contact

Phone number we can call in case of an emergency

Consent Agreement

By checking this box, I confirm that:
  • I have provided accurate allergy information for my child
  • I understand the potential allergens in lemonade products
  • I give permission for my child to consume lemonade from this stand
  • I will notify the stand operators of any changes to allergy information
  • The emergency contact information provided is current and accurate
Important: This consent form must be completed before your child can order or consume any lemonade products from our stand.
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Our Safety Commitment

Clean Preparation

We wash our hands and sanitize all equipment before making each batch of lemonade.

Ingredient Tracking

We carefully track all ingredients and can provide detailed information about what goes into each flavor.

Trained Staff

Our adult supervisors are trained in basic first aid and allergy response procedures.