Macomb Cooking Class  
Please complete and submit this form in order to participate in Inclusive Cooking Class with Disability Network Eastern Michigan.  All data is used for grant reporting purposes only and no information is shared.  

Class is held at  the DNEM Clinton Twp office 16655 15 Mile Rd, Suite B  Clinton Twp, 48035. From 11am - 12:30pm 

You are signing up for a 2-month class. Cooking class will be held on the following dates:
 November 7, 2024
 November 21, 2024
 December 5, 2024
 December 19, 2024

Please contact  rec-it@dnemichigan.org with any questions 
 
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Name (First and Last) *
Address *
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Phone Number  *
Date of Birth (needed for federal grant reporting purposes only) *
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Food allergies. If you do not have any please write NONE  *
Race (needed for federal grant reporting purposes only) *
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DNEM offers free programs to people with disabilities.  Please assist us with accommodating your needs by identifying any disabilities you have:  
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