Spring 2024 Virtual Cooking Club Registration Form

Join us for this 6-week cooking and nutrition club via Zoom.  Each week, we will learn tips for making healthy food choices, while preparing a meal together.  A grocery list will be sent our prior to classes, so that participants can cook along in their own home.     

Class takes place on 6 consecutive Thursdays; 4:00-5:00pm; March 7 - April 11, 2024 

Sign in to Google to save your progress. Learn more
Name (First and Last) *
Please indicate any disability you identify with:   *
Email  *
Phone Number *
Address *
City *
Zip Code *
Date of Birth (required for our federal funding purposes only) *
DNEM offers free programs to people with disabilities.  Please assist us with accommodating your needs by identifying any disabilities you have:  
Race (needed for federal grant reporting purposes only) *
Please list any food allergies or aversions:   *
Clear form
Never submit passwords through Google Forms.
This form was created inside of DNOM. Report Abuse