TWISPP Snack and Dietary Restrictions

TWISPP Snack and Dietary Restrictions
Please enter the Access Code provided to fill out the form.
Child's Name *

First Name Last Name
Child's Date of Birth *

Month Day Year
Date
Parent's Name *

First Name Last Name
Email *
example@example.com
In effort to simplify and keep snack time consistent, please check one of the following categories: *

My child has NO dietary restrictions, allergies, or feeding precautions. My child has dietary restrictions, allergies, and/or feeding precautions.
Please list all restrictions and allergies:
Please check one of the following options: *

My child is NOT allowed to have ANY Therapy West food or drinks. I will provide ALL snack food and drinks of my child. My child is allowed to have Therapy West food and drinks that comply with their dietary restrictions and allergies listed above.
Although the Thearpy West and TWISPP kitchen is not Kosher, we are able to honor those families who observe Kosher laws in the following ways:
- Only foods with Kosher symbols will be provided (see below).
- NO fruits, vegetables, or other food prepared by our staff will be given to your child.
- TWISPP will provide all plates/bowls/cups and utensils, unless they are included in your child's lunch box/bag.
The following Kosher Symbols will be recognized by TWISPP: