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Modified Meal Request Form - Plant Based

To request a plant-based modified meal for your child, please complete the form and click submit.

Required

Student Namerequired
First Name
Last Name
Schoolrequired
Parent/Guardian Namerequired
First Name
Last Name
Based on information listed below, my child will require a meal modification for the following meals:
Menu Modificationrequired
I understand School Nutrition Services is not required to provide requests based on preference for food substitutions or meal accommodations, made by a parent/guardian or any health professional not licensed in Illinois to prescribe medication.
List all requested food and/or beverage substitutions.

Pressing SUBMIT will deliver this form to Nutrition Services. If you have any questions, please direct them to Sarah Coleman, Nutrition Services, colemans@ccsd15.net, or 847-963-3928.