EAC 2012 Dietary Form

If you have signed up for on-site meals at the 2012 EA Conference we need you to submit this form.

The Still Meadow kitchen accommodates vegetarian, dairy free, wheat free and gluten free diets. If your dietary needs or allergies go beyond vegetarian/meat, wheat-free, gluten-free or dairy-free diets, you will have to provide for yourself. Still Meadow can't accommodate needs such as vegan, citrus, salt, sugar, pepper, garlic, onions, corn etc.

We need to know of special food needs in advance of the conference. Thank you

Name*

FirstLast

Email*

I do not eat (please check all that apply)

I can eat all of these foods

I have none of the above dietary restrictions

Email

This field is for validation purposes and should be left unchanged.

The Jeffrey Wolf Green
School of Evolutionary Astrology

2012 EA Conference Dietary Request Form

The Jeffrey Wolf GreenSchool of Evolutionary Astrology

2012 EA Conference Dietary Request Form

The Jeffrey Wolf Green
School of Evolutionary Astrology