COOPERATIVA MENSA della SCUOLA EUROPEA di VARESE
SPECIAL DIET REQUEST for the school year 2024-2025
Member's Last Name*
Member's First Name*
Email Address*
Student's Last Name and First Name*
Class*
Select
Kindergarten Teachers
Primary School Teachers
Secondary School Teachers
Kindergarten
P1
P2
P3
P4
P5
S1
S2
S3
S4
S5
S6
S7
Section
Select
DE
EN
FB
IT
NB
TYPE OF DIET
with medical certificate (mandatory for gluten-free diets)
I am attaching a recent medical certificate specifying the condition and any prohibited foods.
Medical Certificate Date
Upload Medical Certificate
I request to use the medical certificate already in your possession as it is unchanged.
For ethical/religious reasons
Diet without:
TYPE OF SERVICE
Self Service
self-managed, except in case of a picnic
I request a gluten-free lunch
other (to be agreed with the office)
Dessert Authorization
I authorize my child to have dessert
I do NOT authorize my child to have dessert
to be prepared on the following days:
Monday
Tuesday
Thursday
Friday
I request the replacement of the dishes that cannot be consumed with other dishes offered on the menu (the Board of Directors will assess if a diet supplement is due)
I request a gluten-free lunch
Notice
I have read the explanations regarding special diets and the service prices for the current year.
If we are unable to accommodate the special diet request, you will be contacted by the COMSEV office.
In case of absence, I must notify the COMSEV office by 8:30 AM via phone or email, otherwise the meal and supplement will be charged.
All requests will be forwarded to Rojac, the company responsible for meal preparation.
PRIVACY POLICY
: I consent to the processing, communication, and dissemination of my child's sensitive personal data within the limits indicated in the information notice on the COMSEV website.
Submit