The district must request (law passed HB742 of 82nd TX Legislature), at the time of enrollment, that the parent or guardian of each student attending the District disclose the student’s food allergies. Additional information regarding food allergies, including maintaining records related to a student’s food allergies, can be found at FD and FL.

The form that you will be provided upon enrollment allows you to disclose whether your child has a food allergy or food intolerance that you believe should be disclosed to the District in order to enable the District to take necessary precautions for your child’s safety.

Food Allergy Form For Parents PDF Download

Severe food allergy” means a dangerous or life threatening reaction of the human body to a food-borne allergen introduced by inhalation, ingestion, or skin contact that requires immediate medical attention.   

On the form you will list any foods to which your child is allergic or severely allergic, as well as the nature of your child’s allergic reaction to the food. Please let your school nurse know of any updates or changes to this information.

If your child has a food intolerance such as upset stomach when consuming milk, then we can help remind the student not to consume this item. This will be done by adding a note on their lunch account. The district does not offer a milk substitute. Free drinking water is available or they may purchase bottle water or 100% juice.

It is the responsibility of the parent to communicate to their child which menu items they can and cannot have daily. The parent may need to review the menu and nutrition labels if necessary. All nutrition labels are available for review at the Child Nutrition office. Call 817-367-1310 for assistance. The school nurses and Child Nutrition office can help with any questions or concerns you have.

To learn more about food allergies go to: www.FoodAllergy.org

Important: Your doctor must complete this form for severe allergies:  [PDF] Disability Food Allergy Special Diet Form

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA's TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at How to File a Program Discrimination Complaint and at any USDA office or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov.

USDA is an equal opportunity provider, employer, and lender.

WSISD Child Nutrition Office | 8224 White Settlement Road | White Settlement, TX 76108 | (817) 367-1310 | Fax (817) 367-1223


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