REGISTRATION FORM FOR THE FREE  'COOKING IN ACADEMICS' YOUTH EVENT!
Please complete this form to secure your child's spot. This free event is geared toward 3rd-8th graders in honor of National Day of Non- Violence  & Peace. 
We look forward to meeting you! It is taking place, Tuesday Jan 30th 4:00-7:00pm at 506-508 18th Ave. (2nd Floor) Newark, NJ 07103. (973)715-0152

Thank you.
The Rare Gems Youth Program Team

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Student's First & Last Name (if multiple children, add their names below) *
Student's Grade (s) *
Guardian Name *
Guardian Contact Number *
Email *
Any Food Allergies?  *
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