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Event registration
Please complete the survey below to register for the Healthy Cultural Food Event!
ONE REGISTRATION PER FAMILY.
YOU WILL RECEIVE AN EMAIL WITH THE EVENT ZOOM LINK AND RECIPE
Thank you!
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* Indicates required question
Email
*
Your email
Which COOKING event are you registering for?
*
WEDNESDAY MAY 26 AT 7PM (6:30 pm for preparing)
HEALTHY LIVING WORKSHOP WEDNESDAY JUNE 9 AT 6PM - 7PM
WEDNESDAY JUNE 16 AT 7PM (6:30 pm for preparing)
Family/Parent Name
*
Your answer
Contact Phone Number
*
Your answer
Student Name(s)
*
Your answer
Student Grade(s)
*
K
1
2
3
4
5
Required
Do you have any dietary preferences?
None
Vegetarian
Vegan
Halal
Gluten-free
Other:
Clear selection
Which foods groups do you think are healthy? Please check all that apply. *
*
Beans, Lentils, Tofu, Vegetables, Fruits, Whole Grains, Nuts/Seeds
Fast Food
Chicken, Beef, Pork, Milk, Cheese, Eggs
Processed Foods (Foods containing added oils, sugars, white flour, artificial ingredients)
I do not know
Required
Which foods do you mostly eat? Please check all that apply. *
*
Beans, Lentils, Tofu, Vegetables, Fruits, Whole Grains, Nuts/Seeds
Fast Food
Chicken, Beef, Pork, Milk, Cheese, Eggs
Processed Foods (Foods containing added oils, sugars, white flour, artificial ingredients)
I do not know
Required
True or false: More vegetables, beans/lentils/tofu, fruits, and whole grains can decrease depression and anxiety. *
*
True
False
Do you ever eat meals that contain NO animal products? (Meals that contain NO meat, poultry, fish, seafood, dairy products, eggs) *
*
Yes
No
What do you hope to learn about healthy eating from attending the workshops?
*
Your answer
YOU WILL RECEIVE AN EMAIL WITH THE EVENT ZOOM LINK AND RECIPE
A copy of your responses will be emailed to the address you provided.
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