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Peanut Free Zones - Consent Agreement

Posted Sep 02 2009 6:52am
Conor started kindergarten this week at a local little private school that I LOVE!!!! They are totally peanut and nut free, and are really consciencous about enforcing their rules. One of the things that impressed me the most is this form every student's family must fill out and agree to before entering the school. I thought I would include a copy here in case it could be of help to anyone else.
Consent Agreement

Peanut Free Zones



In order to ensure the health and safety of students at ********School, we are aware of the need to implement a peanut free zone and to inform parents and students of the severity of this allergy at the school. We humbly request parent participation in this matter so as to ensure that the *********School is a safe and fun environment for all students.



We have children with peanut and tree nut alelrgies that puts them at severe risk of death. We are therefore designating all areas of the school free of nuts/nut products and nut residue. There are signs posted around the school reminding the community of this policy.



A "peanut free zone" essentially means that nuts or food items containing nuts may not be brought or eaten at school. We also ask that any treats provided for school events or birthdays be nut free and not processed in the same facility wehre nuts have been processed.



In addition, parents and students will receive information on the severity of peanut and tree nut allergies and the risk to students. We ask parents to educate their children at home on nut allergies and are happy to provide parents with articles and materials to help them do so.



We appreciate all parent participation in this matter, and know that it is every family's goal to create a safe learning environment for all students. We are asking you to play your part in making *******School a safe environment for all of our students. Please feel free to discuss any questions/concerns with the *****School staff.



Please initial:



___I have read the Health and Safety information above.



___I understand the requirements and stipulations stated herein and agree to abide by them





_______________

Child's Name



_______________

Parent/Guardian Signature



_______________

Date
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