Training Cooks Registration

1
Name* This field is required.
First Name
Last Name
2
Email* This field is required.
example@example.com
3
Phone Number* This field is required.
Please enter a valid phone number.
4
Name of your Cook* This field is required.
First Name
Last Name
5
Your Cook's Phone Number* This field is required.
Please enter a valid phone number.
6
Languages your cook is comfortable in* This field is required.
7
Your reasons for enrolling your cook* This field is required.
Huge
Large
Normal
Small
Ok
Ok
8
What was your last connection with THAC* This field is required.
Personal Counselling for self
Care giver for a family member who has done Personal Counselling Session
3 Day Workshop
9 Week Nutrition Re-education Classes
RBC -Emotional Well Being
RBC - The Fat Trap-beyond Yo-Yoing
Should be Empty: