Cooking Matters Sign-Up Sheet
First Name *
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Last Name *
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Email Address
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Phone Number *
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Preferred Method of Contact *
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Are you 18+ years old? *
Which Cooking Matters Course are you interested in?
Did you hear about this program through a healthcare provider? *
If "yes" to the above question, which provider?
If "no" to the above question where did you hear about the program?
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How did you hear about Cooking Matters? (check all that apply) *
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Do you have any dietary restrictions, food allergies, or food preferences? *
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Do you foresee any barriers to attending all 7 classes? *
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Do you need help overcoming barriers to attending class?
What are the TOP TWO reasons you decided to enroll in Cooking Matters?
Would you be interested in getting your food handlers card?
Cooking Matters is a 7 week long cooking course. Are you prepared to commit to all of the classes?
Please tell us anything else or submit any questions that you have regarding the course. *
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