Sign Up is Required for ALL Kids Recipe Kits
Only the child's parent or guardian can apply
You must be 18 years or older to apply for a Kids Recipe Kit
ONE per household per month
Age range for the Kids Recipe Kit is 4-17 years
Please only submit this form once.

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Are you the child's parent or guardian? (Only parents or guardians may apply for their child to receive a Kids Recipe Kit) *
Parent or Guardian Name *
Are you 18 years or older? *
Parent or Guardian Email *
Street Address *
City *
State *
Zip *
Phone Number
Age of Child Receiving Kit? *
Name of Child receiving Kids Recipe Kit *
Date of birth for child receiving this kit? (Month and Day)
Number of children in home? *
Do you need this item shipped? *
Your ticket to pickup the kit will come to your email from Eventbrite | Date: 12/10/20, Thursday at 5:30pm 11120 SE 29th St. Oklahoma City, OK 73130. If you are not available during this time please select to have your item shipped. You will receive an Eventbrite ticket after your order to bring with you to pick up. *
I understand that I will have to pay a shipping fee if I am requesting to ship my child's Kids Recipe Kit (required for shipping, USA Shipping ONLY, Shipping not available for Alaska, Hawaii and Outlying Islands). Shipping & handling is $10.00 and non-refundable, you will receive an email once this form is submitted to pay your shipping fee. Your Kids Recipe Kit will be mailed the following business day after the shipping fee is paid. Please contact food@atableinthewilderness.org for any shipping issues. **You will receive an email with for shipping charges. Please make sure your email address is correct.** *
Required
Shipping Address (if different from above)
You understand and agree that you will NOT SELL, trade, barter or otherwise transfer the Kids Recipe Kit or its contents in exchange for money, property or services. Kids Recipe Kits CANNOT BE USED FOR FUNDRAISERS, RAFFLES or AUCTIONS; or SOLD IN THRIFT STORES, RESTORES, RETAIL STORES, on WEBSITES, in FLEA MARKETS, or in any other manner. A Table in the Wilderness is not liable for any allergic reactions or any other adverse effects that may result from eating foods contained in the Kids Recipe Kit. ATITW is a Christian organization and materials will reflect a Biblical health and spiritual wellness plan. This kit is for educational purposes only, ATITW is not liable to be sued for any content distributed in its' Kid Recipe Kits. ATITW is not responsible for any use or misuse of any products contained in the Kids Recipe Kit. ATITW is not responsible for any lost, stolen or missing Kids Recipe Kits. *
Dietary restrictions *
Would you be interested in receiving any free plant-based food coupons or products, if available, with your Kids Recipe Kit?
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