weekly email form (airfryer)

AirFryer Cooking Club : Saturdays (pizza month)

This Form has a built-in-limit of applications ( eg after 10 submissions application will close and reset for next week saturdays program).
Please fill out the form below to reserve a spot for this Saturday.

This program has no long term commitments, However it is passport funding & SSAH friendly. Fees are $45 a person.
Name (Guardian/CareProvider)*

First NameLast Name
Name (Who are you reserving for?)*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
2nd Emergency Contact*
Please enter a valid phone number.Format: (000) 000-0000.
See Below For Time Slots Available, Alergies & Eligibility
choose your preferred date (Saturdays only)*

MonthDayYear
Date
12:15 PM - 2:00 PM2:15 PM - 3:00 PMInterested in the entire program (12-3pm) $65
Interested in more days ? Input time(s) & Date(s). ex . ( March 21, 28 , 12:15- 2pm)
YesNo
Describe Allergies*
Special Note on Allergies and Concerns*
When using shared kitchen appliances like air fryers, do you have any specific cultural, religious, or personal requirements regarding food contact? (For example: Not using the same basket for meat and vegetarian items, specific cleaning rituals, or avoiding certain food groups entirely*
Eligible Participants

Participants should generally meet the following profile:

Gross Motor Skills: 7/10
Communication Skills: 6/10
Independence: 6/10
Receptivity to Instruction: 7/10
Challenging Behaviours Requiring Clinical Therapy: 0/10

This program is not designed for individuals who require active behavioural or clinical intervention.

If eligibility is unclear or you’re unsure whether this program is the right fit, please contact us directly at Reclifegma@gmail.com to discuss individual circumstances.
YESNO
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Address : 6033 Shawson Dr, Mississauga, ON L5T 1H8 , UNIT 22
What's next ?

Take Note of the upcoming Date/Time & Join Us. Email us for any questions/concern : Reclifegma@gmail.com
Should be Empty:

AirFryer Cooking Club : Saturdays (pizza month)

Please fill out the form below to reserve a spot for this Saturday.

See Below For Time Slots Available, Alergies & Eligibility

Address : 6033 Shawson Dr, Mississauga, ON L5T 1H8 , UNIT 22

What's next ?