Please fill out this form to enable myAllergyAid to create personalized certificates and letters of acknowledgment tailored to each teacher and their respective school and grade level.

Your First Name

Your Last Name

Your Email Address

Relationship to the Student (parent, guardian, family member, etc)

Teacher's Title
—Please choose an option—Mr.Mrs.Ms.MissDr.

Teacher's First Name

Teacher's Last Name

School's Name

Grade Level
—Please choose an option—Grade 01Grade 02Grade 03Grade 04Grade 05Grade 06Grade 07Grade 08Grade 09Grade 10Grade 11Grade 12

School Board's Name
Peel District School Board

Reason for Acknowledgment

I acknowledge and consent to the information provided being used to generate a certificate and letter on behalf of myAllergyAid.

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