SOUTH DAKOTA JEWISH CENTER ALEVY CHABAD HOUSE
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Allergy Care Plan for Gan Early Learning Center and JUDA Enrichment
*
Indicates required field
Name
*
First
Last
Date of Birth
*
Food Allergies
*
YES
NO
Please list all foods your child is allergic to
*
Other allergies or medical conditions:
*
Please detail any cross contamination issues we should be aware of
*
Please list any precautions needed (such as needing to eat in a separate room)
*
Medication
*
Epipen
Other Medication
Epipen or other medication needs refrigeration?
Please detail symtoms to look out for
*
Actions to take
*
Name of Medication
*
Dosage
*
To be administered when...
*
By submitting this form you are giving permission to Chabad Jewish Center of South Dakota staff to administer the above medications to your child when necessary.
Submit
About
About Us
Rabbi Mendel and Mussie
In The News
Join
Newsletter
Events
Shabbat
Holidays
>
Chanukah
>
Chanukah
Menorah at Mount Rushmore
Menorah at the Capitol
Ellsworth Air Force Base Lighting
High Holidays
Shofar
Sukkot
Lulav and Latte
Sukkah On Wheels
Shavuot
>
FAQs
Passover
Purim
Lag Ba'Omer
Education & Sharing Day
HamantashBake
Give and Get Shabbat
Shabbat Kit To Go
Sukkah On Wheels
Mini Purim Celebration
Shabbat Candle Lighting
Women's Circle
>
Latke Cook-Off
Babka Bake
Women, Wine and Wardrobe
Menorahs and Martinis
Shavuot Cooking Zoom
Smoothies and Self Defense
Shabbat in an Hour
Decor & Desserts
Challah Bake
Tu Bishvat - Ladies Night Out
Previous Events
>
Rebbe
Never Forget Never Again
Past Present Future
Scribe In Action
MarkHalawa
Cremation or Burial?
Kosher BLT
Photos
Donate
Donate
Chai Club
Planned Giving
Jewish Art Calendar
Donate Your Car
Jewish Community Center
Adult Education
Torah On Tuesdays
Tanya Class
Book Club
A Day In Yeshiva
Rapid City
Zoom
Rabbi's Blog
Rabbi's Blog
Mussie's Musings
Youth
JUDA
>
Aleph Champ
Gan Preschool and Day Care
Mommy and Me
Bat Mitzvah
Bar Mitzvah
University Students
Kosher
Kosher Initiative
Visitors
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