Kids Cook Real Food
Please fill out all the boxes below to register for the My Family Cooks Program
Email address *
Child's name (first and last) *
Child's current address: street name, number, and apartment number *
City *
Province *
Postal code *
Telephone number *
Child's age *
Child's date of birth *
MM
/
DD
/
YYYY
Child's gender *
Preferred language of communication *
Parent/Guardian 1 name (first and last) *
Parent/Guardian 2 name (first and last)
Phone number *
Collective Community Services Photo Authorization *
Required
Today's date *
MM
/
DD
/
YYYY
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