Allergy Mom Meetup - Keep Me In the Loop

1

Name* This field is required.

First Name

Last Name

2

E-mail* This field is required.

3

When is the best time for you to meet?* This field is required.

Weekday, 10am-12pm

Weekday, 1pm-3pm

Weekday, 7pm-9pm

Weekend

4

How many children with food allergies will you be bringing?* This field is required.

Zero - just me!

1

2

3

5

How old are the children that are accompanying you?* This field is required.*Select "Other" ONLY if you are bringing more than 1 child.

Newborn/baby

Toddler

3-6

6-9

N/A

Other

6

Please list your child/ren's allergies.* This field is required.

7

Are you comfortable with allergy-friendly* venues?*An allergy-friendly venue may have your child's allergens onsite, but they will be alerted and will be asked to refrain from serving them during the meetup.

YESNO