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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, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

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

To file a program discrimination complaint, a Complainant should complete a Form AD-3027, USDA Program Discrimination Complaint Form which can be obtained online at: https://www.usda.gov/sites/default/files/documents/USDA-OASCR%20P-Complaint-Form-0508-0002-508-11-28-17Fax2Mail.pdf, from any USDA office, by calling (866) 632-9992, or by writing a letter addressed to USDA. The letter must contain the complainant’s name, address, telephone number, and a written description of the alleged discriminatory action in sufficient detail to inform the Assistant Secretary for Civil Rights (ASCR) about the nature and date of an alleged civil rights violation. The completed AD-3027 form or letter must be submitted 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; or
  2. fax:
    (833) 256-1665 or (202) 690-7442; or
  3. email:
    program.intake@usda.gov

This institution is an equal opportunity provider.


WSISD Child Nutrition Office | 700 Odie Street | White Settlement, TX 76108 | (817) 367-1310 | Fax (817) 367-1223

 

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