Children Info
This group is for children between the ages of 2 and 12. Many fun activities are planned throughout
the year to get our younger members together. It is a great way for parents and children to socialize while
knowing that all food served at events is safe for those on the gluten free diet.
Information about events is on our website, in our newsletter and emailed out to members of the Gang.
First Name
_______________________
MI ____ Last
name (if not family name)
_________________________________
Birth date
___/___/________
Does
this person have: CD ___ DH ___
Other special dietary conditions? ____________________________________
Would
you like this child to be a member of the Gluten Free Gang (GFG)? Yes ____ No ____
First Name
_______________________
MI ____ Last
name (if not family name)
_________________________________
Birth date
___/___/________
Does
this person have: CD ___ DH ___
Other special dietary conditions? ____________________________________
Would
you like this child to be a member of the Gluten Free Gang (GFG)? Yes ____ No ____
First Name
_______________________
MI ____ Last
name (if not family name)
_________________________________
Birth date
___/___/________
Does
this person have: CD ___ DH ___
Other special dietary conditions? ____________________________________
Would
you like this child to be a member of the Gluten Free Gang (GFG)? Yes ____ No ____
How can we help you?
Would
you like to have a
"Buddy?” For yourself
___ For your
children _____
This person can help you find sources of
gluten free food and/or restaurants.
They can also share how to prepare home
cooked
meals and deal with CD both in your home and away from the home.
How
far would you be willing to travel for Gluten Free Gang events?
____ 0-10 miles ____ 10-20 miles ____ 20-30 miles ____ 30+ miles