Sign your child up to become a Culikid!

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Thank you for your interest in attending Culikid cooking events! After filling out this form, you will be added to our database and will be invited to all future cooking events!

We currently host monthly cooking events at restaurants and other spaces throughout New York City geared towards children with special needs between the ages of 4 and 14. Our dedicated team of volunteers work 1:1 with participants, allowing children to have a balance of independence and support. They facilitate peer interactions and support children throughout the cooking process.

If the event fee presents a financial obstacle for your family and would prohibit your child from attending, please fill out this form anyway and then contact us at info@culikid.org about potential scholarships.

Child's name: *

Child's diagnosis: *

Child's birthdate: *

YYYY

What zip code does your child live in? *

What school does your child attend? *

Has your child attended a Culikid program before? *

Yes

Does your child have any food allergies or dietary restrictions? If so, please share. *

What are your child's strengths? *

What are some of your child's current social, language, independence, food, or other goals? *

Is there anything that you think our staff and volunteers should know about working with your child? *

Guardian's name: *

Guardian's email address: *

Guardian's phone number: *

How did you hear about Culikid? *

Is there any additional info you'd like to share with our team?

Submit

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