Families on the Fly

Location: Extension Center 120 Community Way Barco NC 27917
Time: 6:00pm until 8:00pm

This is a family registration. Those registered below will receive one (1) family packet of take home meals. If the additional adult registered below would like their own family packet they should create their own registration form.

If you family consists of more than two (2) kids please call the extension office to register additional children at an additional $5.00 per child fee.

Email address
Name of Adult #1
Your answer
Name of Adult #2
Your answer
Phone Number
Your answer
Address
Your answer
Please check the classes you will be attending
September 21st
October 5th
October 19th
Name of Child #1 Attending with you
Your answer
Age of Child #1
Your answer
Name of Child #2 attending with you
Your answer
Age of Child #2
Your answer
Do you or your children have any food allergies?
Your answer
Will the above children be attending all the classes you checked?
If No please explain.
Your answer
Other information
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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