FORM
Food Preference Form: Operations Page 1 of 1
Effective/Review Date: 03/2021
Food Preference Form -
Cultural/Religious/Vegan/Vegetarian Reasons
This form is required for any child who should not be served particular foods due to
cultural/religious/vegan or vegetarian reasons. This form does not pertain to medical causes
(i.e. allergies) or personal preferences (i.e. dislike of certain foods).
Where possible, Bright Horizons offers vegetarian options or food substitutions. The choices
available will vary by location. As permitted by licensing, families may bring their own food from
home, so long as it is “nut safe.” Milk alternatives that are “nut safe” are permitted, but will be
provided by the family if not offered at the location.
In order to manage any permitted food preferences, a child’s photograph with the preferences
must be posted in the classrooms and kitchen on a Food Preference Chart for staff to follow. I
understand that Bright Horizons cannot guarantee that my child will not be exposed to a
particular food, and that any changes to the preferences stated below must be made by me in
writing.
Child’s Name: ___________________________________
Due to cultural/religious/vegan or vegetarian reasons, I request that my child is not served the
following foods:
___________________________________ ___________________________________
___________________________________ ___________________________________
___________________________________ ___________________________________
___________________________________ ___________________________________
____________________________________ _________________________________
(Signature of the Parent/Guardian) (Date)
To eliminate a food preference(s) and to permit a food to be served to your child, please
complete the following:
Child’s Name: ___________________________________
I acknowledge that my child is now able to eat and may be served the following item(s) while at
Bright Horizons:
___________________________________ ___________________________________
___________________________________ ___________________________________
___________________________________ ___________________________________
____________________________________ _________________________________
(Signature of the Parent/Guardian) (Date)
