Slow Foods Cooking/Nutrition Class_Intake Form
Cooking/Nutrition Class / Clase de Cocina y Nutricion
Comienza: Jueves 10 de Febrero al 24 de Marzo / Start Date: Thursday, February 10 through March 24th
Cuando/When: Jueves / Thursdays
Donde/Where: Presbyterian Church of Jackson Hole / Iglesia Presbiteriana de Jackson Hole
Se requiere la asistencia a las ocho clases, debido a la alta lista de espera. / Attendance to all eight classes is required, due to high wait list.

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Su nombre completo/ Your full name *
Su fecha de nacimiento (mes/dia/año) / Date of Birth (month/day/year) *
MM
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DD
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YYYY
Numero de su celular / Your Cellphone: *
Correo Electronico / Email: *
Direccion Fisica / Physical Address *
Cual es nombre de su estudiante que asiste a TLC? / What is the name of your child attending TLC? *
Cual idioma prefiere, ingles o español? / What language do you prefer English or Spanish? *
¿Tiene acceso a una cocina en casa? / Do you have access to a kitchen at home to cook? *
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