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Lunch Order Form

Required

Student Namerequired
First Name
Last Name
NIS Summer Program lunch box
Type of Lunchrequired

Food Allergies

The lunch provider can make lunches appropriate for students with allergies to dairy products, eggs, nuts and mayonnaise. Service is NOT available for students with other allergies, and we apologize for any inconvenience this may cause.

アレルギーについては、卵、ナッツ、乳製品、マヨネーズのみ対応可能です。上記以外の食物アレルギーをお持ちの方はお申し込み頂けませんのでご了承下さい。

Food Allergiesrequired
Allergiesrequired

CAUTION:Lunches are prepared in a facility that is NOT free of the above ingredients.

お弁当は、上記のアレルギー食材を含む食品と同じ工場、製造ラインで調理しています。

Must contain a date in M/D/YYYY format
Thank you!