Harvest Sign Up Form
West Side Community Center - Seeds 4 Success
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Email *
Name *
Address *
Phone Number
Email Address *
How did you hear about Us
Fruit/Veggies Your Family Would Like *
Required
Do you have students, ages 8-18, in your household that would like to join our Seeds 4 Success summer program? *
If yes, Name Of Student
Would you be interested in learning more about nutrition and more ways to incorporate healthy foods into family’s diet? *
Are there other ways we can serve the families in our community
Submit
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