Kids in the Kitchen Registration Winter 2016

Kids in the Kitchen
Saturday, December 3rd
9:00 AM - 12:00 PM

*What is the first and last name of the child registering?

*What is the age of the child registering?

*What is the address of the child registering?

*What is the grade of the child registering?

* I am registering for the Kids in the Kitchen session on December 3rd, 9:00 AM - 12:00 PM.

*How many adults will be attending the Parents in the Kitchen session?

*What is the first and last name of the emergency contact for the registered child?

*What is the best phone number(s) to reach the emergency contact of the registered child?

*What is the best email(s) to reach the parent of the registered child?

*Does the child have any food allergies? If none, please respond "none." If yes, please specify.

*Does the child have any medical conditions? If none, please respond "none." If yes, please specify.

How did you hear about Kids in the Kitchen?

*I have read and agree to the participation waiver.
I agree
I decline

I agree
I decline

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