Consultant Dietitian & Nutritionist
KIDS WORKSHOP REGISTRATION
Please list any dietary restrictions or food allergies.
Does your child have any other allergies (medicine, environmental, etc.)
Does your child have any physical, mental or emotional conditions that we should know about (ADD or ADHD, diabetes, asthma, etc.)? Please list any issues that may affect your child's safety or ability participate in cooking class.
Please list any medications your child is currently taking.
EMERGENCY CONTACT INFORMATION
Emergency Contact Name
Alternate Phone Number
List the people other than those listed above who are authorized to pick up your child.