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What is the first and last name of the child registering?
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What is the age of the child registering?
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What is the address of the child registering?
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What is the grade of the child registering?
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I am registering for the Kids in the Kitchen session on January 28th, 9:00 AM - 10:30 AM.
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What is the first and last name of the emergency contact for the registered child?
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What is the best phone number(s) to reach the emergency contact of the registered child?
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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.
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I have read and agree to the Kids in the Kitchen
Participation Waiver
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I Agree
I Decline
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I have read and agree to the
Child/Youth Media Consent Form
.
I Agree
I Decline
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