lil chefs cooking class GSO
$75 weekly / 2 sessions per week / 3 hour classes GREENSBORO AREA
Step 1: FILL IN THE INTEREST FORM
Fields markd with an * MUST be filled in for the application to submit. Use upper AND lower case for each field; eg, Bree Mills (CORRECT), bree mills (INCORRECT)
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Participants Details
Are you interested in your child participating in Lil chefs cooking class
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First & Last Name
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Address
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Home Ph:
E-mail
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School Year
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Please Select
Grade 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Leader
School
Gender
*
Male
Female
Date of Birth
*
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Parent Details for Correspondance
Parent/Guardian Name
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Parent Guardian Name
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Parent Mobile
Parent email
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Emergency Contact 1
Emergency Contact Name
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Home Phone
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Mobile Phone
Email
Relationship to Participant
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Emergency Contact 2
Emergency Contact Name
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Home Phone
*
Mobile Phone
Email
Relationship to Participant
*
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Medical Details
Does the participant have any dietry requirements
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Yes
No
Please specify
Is the participant known to have
Diabetes
Fits of any type
Dizzy spells
Blackouts
Travel Sickness
ADHD or similar
Heart Condition
Asthma
Migraines
Epilepsy
Bed Wetting
Sleep Walking
Aspergers Syndrome
Learning Difficulties
Allergies
Other
What does your child enjoy about cooking ?
What kinds of foods does your child like best ?
Is there any other information about the participant that you want to disclose ?
Yes
No
If Yes, please specify
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Registration confirmation
I understand that this form is not registration it is an interest form for Lil Chefs cooking youth classes and that no payment is expected at this time. you will receive an email with more information.
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Yes
Once you click on the "Submit" button, your information will be sent directly to our secure site. To confirm that your information has been properly submitted, an email (eForm) will be immediately sent to the addresses you provided above. Please print out the ENTIRE eForm and continue the registration process. Thank You
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