Young Chefs Registration Form 2018
Each young chef must have a completed registration form, and well as a
a release form on file to participate in cooking classes at "The Kitchen Table".
Student Info
Student Name: *
Your answer
Name of first class you are registering for:
Gender:
Address: *
Your answer
Birthdate: *
MM
/
DD
/
YYYY
Do we have permission to take pictures of your child and use them for promotional purposes? *
(Pictures will be available free of charge to parents upon request)
Does child have any allergies? *
NOTE: Students with food allergies can be accommodated in some cases. Please contact Amy O'Brien (thekitchentablewc@gmail.com) to discuss food allergies before signing up.
If so please list *
Your answer
Parent/Guardian Info:
Parent Name (s): *
Your answer
Parent Cell #(s): *
Your answer
Is it okay to text you? *
Email address(es):
Your answer
How would you like to receive updates on our upcoming Young Chefs classes?
(check all that apply)
Additional Info
Emergency Contact(s): *
Please list names, relationship to child and phone #s
Your answer
Who has permission to pick up your child from class? *
Please list names, relationship to child and phone #s
Your answer
Waiver
Each student must have a signed waiver on file to participate in cooking classes at THE KITCHEN TABLE. The waiver is valid for the calendar year. You may print this at home and send it with your student to their first class, or we can provide you a hard copy to sign at THE KITCHEN TABLE before their first class. Thanks!

https://goo.gl/HZwQ9Z

Payment Options *
Please list names, relationship to child and phone #s
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