Pursuant to 65C-22.005(1)(c)2., F.A.C., licensed child care facilities must obtain written permission from parents/guardians regarding a child’s participation in food related activities. These activities include such things as: classroom cooking projects, gardening, school wide celebrations, and birthdays.

I, GIVE / DECLINE permission for my child
to participate in food related activities and special occasions wherein food is consumed.

Please provide the following information:

My child DOES NOT have a food allergy or dietary restrictions. He or she MAY participate in activities.
My child DOES NOT have a food allergy or dietary restrictions. He or she MAY NOT participate in activities.
My child DOES have a food allergy or dietary restrictions. He or she MAY participate in activities, but may not eat or handle the following items (please list below):

My child DOES have a food allergy or dietary restrictions. He or she MAY NOT participate in activities.

I understand that it is my responsibility to update this form in the event that my decision for permission changes. I agree that this form will remain in effect during the term of my child’s enrollment.