Somerset Public Health SNAP-Ed
Virtual Class Enrollment Form
First and Last Name *
Year of Birth *
Mailing Address (Please enter your full address to receive your FREE Hannaford gift card.) *
Gender *
Telephone Number *
Email Address *
Which day would you like to attend the virtual tour on your cell phone or computer? *
Please choose 'Yes' if you grant permission to publish your picture on Facebook, Instagram, Website; etc. Please choose 'No' if you do not grant permission to publish. *
How did you hear about this virtual store tour? *
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