A Family Kitchen - Registration Form
A Family Kitchen, LLC
Cooking Classes
Chef Kristen Phillips

To Be Completed by All Participants
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Participant's School: *
Full Name of Participant: *
Preferred Name: *
Age: *
Grade: *
Teacher: *
Parent Email: *
Emergency Contact Name: *
Emergency Contact Phone Number: *
Authorized Person Picking Up: *
Their Phone Number: *
Does Participant Have Food Allergies or Dietary Restrictions? *
If Yes, Please Explain:
Allergic Reaction(s):
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