Allergy Information Submission

Please provide details about any allergies on behalf of the child attending.

First name

Last name

Does this person have any known allergies?

Yes

No

Please list all allergies and describe severity

Please provide complete details about all known allergies, including:

• Type of allergen (food, medication, environmental)

• Severity of reaction

• Any emergency medications required

I declare that all allergy information provided is complete and accurate. I understand that Once Upon A Sparkle is not liable for any harm or adverse reactions if allergies are not fully disclosed or specified incorrectly.