Zenger Farm Workshops & Events Registration
Thanks for your interest in our workshops. Please complete this form below and we will contact you shortly to confirm your registration. We save the majority of the spaces for people from the neighborhood 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.
Event 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
Please Specify any Food Allergies?/ Por Favor Especifique Alergias de comida
Your answer
Email Address/Direcíon Electronico *
Your answer
Zip Code/Código Postal *
Your answer
Did you participate in any of the following programs at any time in the past year? Participo en alguno de los siguientes programas en cualquier momento durante el año pasado? (Check all that apply/ Esoja todas que corresponde) *
You can learn more about your eligibility for SNAP and other services at http://211info.org/oregonhelps/.
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
Can we text you ?
How did you hear about the event? /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 Farm, please answer the following questions/ Por favor, contesta las siquentes preguntas si esto es su primera vez de visitar a Zenger.
Do you identify as part of one or more of the following ethnic/cultural communities? Check all that apply.
Please Specify
Your answer
Are you interested in volunteer opportunities? /Quiere ser voluntario?
Main languages spoken in your home/Idioma primaria que se habla en su hogar
Your answer
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