Kids Cook Memphis Day Camp Registration Form 2017
Course Dates
Week of June 12-16: Kitchen Basics 1 (ages 9-12) IS FULL
Week of June 19-23: Kitchen Basics 2 (ages 10-14) IS FULL
Week of June 26-30: Pickles, Pies, and Preserves (ages 9-12) IS FULL
Week of July 24-28: Kitchen Basics 1 (ages 9-12) IS FULL
Week of July 31-August 4: Basics for Beginners (ages 6-9) IS FULL

Full-day sessions only. Each camp is recommended for a specific age group.

To be filled out by the parent or guardian. Thanks for sharing this information so that I can contact you and plan ahead for a successful course.

Which session(s) are you registering for?
All weeks are full, so registration is closed.
Required
Student's name
Your answer
Student's date of birth
Your answer
Parent's name
Your answer
Parent's email address
Your answer
Mailing address
Your answer
Parent's phone number
Your answer
Are there any dietary restrictions--vegetarian/vegan, food allergies, etc--that I need to know about?
Your answer
Does your child have any medical conditions I should know about?
Your answer
The cost for the course $250 per week. Please pay via PayPal button (https://goo.gl/uiKAYa) on the website. Alternatively, print and send this form with a check to Liz Phillips, 1756 Glenwood Pl., Memphis, TN 38104.
Got it?
Required
Because we will be cooking, your child will be working with knives and fire. My expectation is that you will make clear to your child the importance of respecting these and other tools, and of listening to my instruction with regard to their safe use. You have my assurance that I will provide ample instruction in kitchen safety.
Got it?
Required
If your child should sustain an injury during a session, do I have your permission to treat minor conditions or transport your child to LeBonheur nearby if more serious care is required?
Required
Please provide the name and phone number of an emergency contact person in case I can't reach you.
Your answer
Payment: how many weeks are you registering for?
Either pay via PayPal button (https://goo.gl/uiKAYa) on the website or make check out to Liz Phillips and send to 1756 Glenwood Pl., Memphis, 38104)
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