December Virtual Family Dinner Night
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Family Dinner Night
When: Wednesday, December 11, 2024

               5: 00 PM - 6:00 PM
                            OR
               6: 00 PM - 7:00 PM


Where: Virtually via MEND Telemedicine



About: This class is for families and will teach how cooking healthy is easy on time and budget.


• Space is limited to 12 families per time slot
• CURRENT WELLNESS CHECK AND NUTRITION REFERRAL REQUIRED
• APPLICATION DUE BY December 4, 2024

Class Time *
Chart Number *
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First Name *
Date of Birth *
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Do you have a food allergy? *
If you have a food allergy, please list it here:
Address *
City *
State *
Zip Code *
Tribal Affiliation *
Cell Phone *
Names of household members joining: *
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