Cooking With Miss Debbie: Half-Day Class Request Form

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Your Name *

Mailing Address: # and Street *

Town *

State *

Zip *

Cell # *

Email Address *

Class Date *

Name of Child(ren) & Age(s) *

Special Requests

Dairy Allergy

Egg Allergy

Peanut Allergy

Gluten-Free

Vegetarian

Kosher

No Restrictions

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Special Requests - Other

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