Pre-Registration Form for Culinary Therapy Cooking Groups for Foster Youth in 6th-12th Grade 
Eight16 in partnership with the San Diego County Office of Education, Foster Youth Services Coordinating Program is providing Culinary Therapy Cooking Groups.

Spots are limited.

Please note that completing the pre-registration form does not guarantee you a spot. All finalized registrations will be confirmed with families via email.
Sign in to Google to save your progress. Learn more
Email *
Foster care eligibility criteria:
Youth in foster care and placed in an out-of-home placement or Family Maintenance court-ordered status. Due to funding restrictions, youth in guardianship or in a finalized adoption are not eligible.

Does the youth meet the criteria?
*
Grade level eligibility criteria:
Entering 6th - 12th graders for the 2023-24 school year.

Please indicate the grade level of the youth entering the 2023-24 school year.
*
Student Name *
Student DOB *
Name of school district the youth is attending. *
Name of school the youth is attending. *
Is the youth aware of the cooking group opportunity and does the youth WANT to participate? *
Please list any food allergies. *
Does the youth have any dangerous propensities?
*
If yes, please explain:
Is the youth safe to be with/around other children/youth? 
*
If no, please explain:
Are there any activities that can pose a challenge to the youth? 
*
If yes, please explain:
Is the youth taking any medications?
*
If yes, please explain:
Caregiver - Full name *
Caregiver - Phone *
Caregiver - Email address *
Emergency Contact Person - Full name *
Emergency Contact Person - Phone
*
County Social Worker - Full name
*
County Social Worker - Phone number
*
County Social Worker - Email address
*
Are you planning to attend the cooking group on Saturday, July 29th from 10 am - 2pm? *
Are you planning to attend the cooking group on Saturday, August 26th from 10 am - 2pm? *
Are you planning to attend the cooking group on Saturday, September 30th from 10 am - 2pm? *
Thank you! We will review your pre-registration form. All finalized cooking group registrations will be confirmed with families via email.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of SDCOE.

Does this form look suspicious? Report