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A Family Kitchen - Registration Form
A Family Kitchen, LLC
Cooking Classes
Chef Kristen Phillips
To Be Completed by All Participants
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Participant's School:
*
Choose
Beverly Farms ES
College Gardens ES
Fallsmead ES
Geneva Day School
Sidwell Friends School
Wayside ES
Cold Spring ES
Farmland ES
Full Name of Participant:
*
Your answer
Preferred Name:
*
Your answer
Age:
*
Your answer
Grade:
*
Your answer
Teacher:
*
Your answer
Parent Email:
*
Your answer
Emergency Contact Name:
*
Your answer
Emergency Contact Phone Number:
*
Your answer
Authorized Person Picking Up:
*
Your answer
Their Phone Number:
*
Your answer
Does Participant Have Food Allergies or Dietary Restrictions?
*
Yes
No
If Yes, Please Explain:
Your answer
Allergic Reaction(s):
Your answer
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