HISD Nutrition Event Request Form 17-18
Please complete the following form to request a nutrition education class or participation of the Nutrition Services Team at your school and/or community event.

Completed forms must be submitted a minimum of two weeks prior to the requested date(s) to be considered.

Once a request has been received, you will be notified by the appropriate dietitian to confirm the details and date of your request.

School Name *
Your answer
Contact Person *
Your answer
Position with the School *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Request Type *
Please indicate the type of nutrition education being requested.
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