Zenger Farm Cooking Workshop Registration
Thanks for your interests in our Cooking Workshops! Please fill out the form below and we will be in touch soon to confirm your registration. We save a portion of the spots for our close geographical neighbors and low-income folks.
Gracias por su interés en nuestros talleres de cocina. Por favor completar la forma abajo y le contactaremos pronto para confirmar su registración. Nosotros guardamos la mayoría de los espacios para personas de nuestro barrio o de bajo ingresos.
Workshop Name
First and last names of Adults /Nombre de todos los adultos
Your answer
Ages and names of YOUTH/Nombre y edad de todo los jovenes
Your answer
Email Address/Direcíon de Email
Your answer
Zip Code/Código Postal
Your answer
Does anyone in your group qualify for SNAP, reduce school lunch, or meet low income guidelines ($3,738 monthly for family of 4) / Hay algien en su grupo que recibe SNAP, almuerzo de bajo costo en la escuela o es una casa de bajo ingresos ($3,738 mensual por una familia de 4)
You can learn more about your eligibility for SNAP and other services at http://211info.org/oregonhelps/.
Your answer
Are you a member of the CSA Partnership for Health Program at your health clinic? Esta participando en el program de CSA en su clinica de salud?
Phone Number/Numero de teléfono
Your answer
How did you hear about the workshop/Cómo se enteró del taller?
Your answer
If you are attending as part of an organization or community partner, please let us know which one .
Your answer
If this is your first time at Zenger, please answer the following questions/ Por favor, contesta las siquentes preguntas si esto es su primera vez de visitar a Zenger.
Mailing Address/Direcíon de Casa
Your answer
Are you interested in volunteer opportunities/Quiere ser voluntario?
Main languages spoken in your home/Idioma que se hablan en su casa
Your answer
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