Changes to dietary requirements policy.

CHANGES TO

DIETARY REQUIREMENTS POLICY

(To be completed by parents/guardians and given to Director/ Room leader preferably 1 week prior to child's diet changing)

Child's name: ___________________________________________________

Child's class: ___________________________________________________

Date Dietary change is to be effective from: _______________________________

Will this change be a permanent change for your child's diet?

___________________________________________________________________

If no, when will this dietary requirement change to what it was before?

___________________________________________________________________

Details of change to child's diet (please be specific):

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

____________________________ _________________

(Parent/ Guardian signature) (Date)

This policy is the property of Eikoh Seminar Australia Pty Limited and must not be reproduced without the consent of management.