Special Meal Request Form

Instructions: Complete and provide electronic signature below. Completed forms requesting special meal accommodations are reviewed by the Registered Dietitian and Carolina Dining Services management team.

Student Information

By signing below, I certify that I have read the Allergen Booklet: Carolina Dining Services Guide to Managing Food Allergies and agree to personal management/responsibilities, and understand CDS commitment and communication disclaimer.

Student Signature
Date

Thank you for your submission. Your form will be reviewed and you will be contacted to discuss your request further. For additional information or questions, please contact the Registered Dietitian at 919.962.2352.