BITESIZE: Nutrition Workshop Interest Form

Learn how to make healthier food choices for you and your family! Our workshops aim to raise awareness of affordable, nutritious foods, share easy and practical cooking tips, support chronic disease prevention, and empower you with tools to make informed dietary decisions.

First & Last Name *
Ethnicity *
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Gender *
DOB *
Please provide your date of birth below:
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Address *
Email *
Phone Number *
Household Size *
Please provide the total number of persons living in your household below:
Total children in household *
Total adults in household *
Are you currently active duty or a spouse of an active-duty military member? *
What branch of military?
Household Size (Including yourself) *
Dietary Preference *
What do you hope to learn from this workshop session?
Are you facing homelessness? *
Do you have any additional information you would like to share with us?
How did you learn about this us? *
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To stay up to date with our programs and upcoming events, would you like to be added to our emailing list? *
Please enter today's date *
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Please be advised that we may contact you from a blocked number within 1–21 business days. You may also reach us by email at info@intercityFRC.org to follow up on the status of your application. Thank you. *
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