Special Diet Request Form - Lutanda

Our sites strive to be ‘Nut and Allergy’ Free’, however we cannot 100% guarantee this to be the case. Please remember that whilst all care is taken in preparing your meal our raw and processed ingredients may contain traces of nuts and other allergens. Please be advised guests are not to bring nuts onto our sites to assist in maintaining an allergy free environment. If you require an Epi Pen please bring this to site with you. We do not provide this on site and accept no responsibility if you have not brought your required medication.

Please note that this form must be filled out once per guest. The name of the recipient of the special dietary requests is to be placed under the field "Guest Name" below.

Please let us know your name.
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CRITICAL / LIFE THREATENING

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SERIOUS (Not life threatening but medically relevant)

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Lifestyle Choice

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Traces OK

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Traces NOT OK

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