Click here to print the permission slip
I’m hoping to do some fun activities using food/candy items this year. Please read the ingredients below. For each item your child may have, please initial on the line next to the item. (If your child does not like a particular item, but is permitted to have the item, please initial on the line, so we may still use the item in class.) Please sign at the bottom of the page. Thank you! J Susan Wendling
1. Apples - initials:_______________
2. Cap'N Crunch Cereal, Christmas Crunch - initials:_______________
Ingredients- Corn Flour, Sugar, Oat Flour, Brown Sugar, Coconut Oil, Salt, Sodium Citrate, Whey, Natural and Artificial Flavors, Strawberry Juice Concentrate, Malic Acid, Yellow 5, Niacinamide (One of the B Vitamins), Reduced Iron, Zinc Oxide, Red 40, Yellow 6, Thiamin Mononitrate (One of the B Vitamins), Pyridoxine Hydrochloride (One of the B Vitamins), BHT (a Preservative), Blue 1, Riboflavin (One of the B Vitamins), Folic Acid (One of the B Vitamins).
3. Conversation Hearts (Sweetarts)- initials:_______________
Ingredients - Dextrose, Corn Syrup, Hydrogenated Coconut Oil, Malic Acid, Maltodextrin, and Less than 2% of Calcium Stearate, Egg Albumen, Artificial Flavors, Mono- and Diglycerides, Blue 1 Lake, Blue 2 Lake, Red 40 Lake, Yellow 5 Lake.
4. Colored Goldfish crackers - initials:_______________
INGREDIENTS -Cheddar Cheese, Spice Mix -We use paprika, spices and dehydrated onions as flavorings in the dough. Salt, Enriched Wheat Flour, Paprika, Turmeric, Annatto, Red Beet Concentrate, Watermelon and Huito, Yeast – in combination with leavening agents. We use Baking Soda as well as Monocalcium Phosphate and Ammonium Bicarbonate to help the crackers rise in the oven. Sugar is also required to activate the yeast.
5. Lucky Charms - initials:_______________
Ingredients -Whole Grain Oats, Marshmallows (sugar, modified corn starch, corn syrup, dextrose, gelatin, calcium carbonate, yellows 5 & 6, blue 1, red 40, artificial flavor), Sugar, Oat Flour, Corn Syrup, Corn Starch, Salt, Trisodium Phosphate, Color Added, Natural and Artificial Flavor. Vitamin E (mixed tocopherols) Added to Preserve Freshness.
6. Marshmallows- initials:_______________
Ingredients: corn syrup, sugar, dextrose, modified food starch (corn), water, gelatin, natural and artificial flavor, tetrasodium pyrophosphate, blue 1.
Continued on back
7. Hershey Kisses - initials:_______________
Ingredients – milk chocolate, cane sugar, chocolate, cocoa butter, milk fat, lecithin (soy); natural flavor.
8. Skittles- initials:_______________
Ingredients - SUGAR, GLUCOSE SYRUP, HYDROGENATED VEGETABLE FAT, FOOD ACIDS (330, 331), APPLE JUICE CONCENTRATE (0.6%), THICKENERS (DEXTRIN, MALTODEXTRIN), FLAVOUR, MODIFIED CORN STARCH, COLOURS (171, 129, 102, 110, 132, 133), VEGETABLE FAT, GLAZING AGENT (903), EMULSIFIER (322, FROM SOY)
9. M&Ms- initials:_______________
Ingredients- MILK CHOCOLATE (SUGAR, CHOCOLATE, SKIM MILK, COCOA BUTTER, LACTOSE, MILKFAT, SOY LECITHIN, SALT, ARTIFICIAL FLAVOR), SUGAR, CORNSTARCH, LESS THAN 1% - CORN SYRUP, DEXTRIN, COLORING (INCLUDES BLUE 1 LAKE, YELLOW 6, RED 40, YELLOW 5, BLUE 1, RED 40 LAKE, BLUE 2 LAKE, YELLOW 6 LAKE, BLUE 2), GUM ACACIA. CONTAINS MILK AND SOY. MAY CONTAIN PEANUTS.
10. Freeze Pops- initials:_______________
Water, High Fructose Corn Syrup, Maltodextrin,Contains 2% Or Less Of The Follwing: Fruit JuiceFrom Concentrate(Apple, Pear), Natural AndArtificial Flavors, Pectin, Citric Acid (For Tartines),Sodium Citrate, Sodium Benzoate And PotassiumSorbate(To Preserve Freshness), Red 40, Yellow5,Yellow6, Blue1.
11. Fortune Cookies-initials:________________
Enriched wheat flour (wheat flour, niacin, iron, thiamin mononitrate, riboflavin, folic acid), sugar, water, soy lecithin, soybean oil and hydrogenated soybean oil, corn starch, salt, natural & artificial vanilla flavor.
I give permission for my child _________________________________________ to use and eat the items listed above.