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Kids Cook Real Food
Please fill out all the boxes below to register for the My Family Cooks Program
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Email
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Your email
Child's name (first and last)
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Your answer
Child's current address: street name, number, and apartment number
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Your answer
City
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Your answer
Province
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Your answer
Postal code
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Your answer
Telephone number
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Your answer
Child's age
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Child's date of birth
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Child's gender
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Preferred language of communication
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Your answer
Parent/Guardian 1 name (first and last)
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Your answer
Parent/Guardian 2 name (first and last)
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Phone number
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Your answer
Collective Community Services Photo Authorization
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Yes, I authorize CCS to use any photos of myself and/or my children for use in publicity tools
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Today's date
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