Spring Kids in the Kitchen

Dit bestand kan niet worden geopend, omdat JavaScript niet aanstaat in je browser. Zet JavaScript aan en laad het bestand opnieuw.

E-mailadres *

OKCIC Spring Kids in the Kitchen - Virtual

When: Tuesdays, January 23 - March 5, 2024

4:30 p.m. - 5:30 p.m.

Where: Virtual via MEND

About: Children ages 9–15 learn cooking skills while developing healthy eating habits.
Only 12 spots available.
• CURRENT WELLNESS CHECK AND NUTRITION REFERRAL REQUIRED
• APPLICATION DUE BY January 16, 2024

Chart Number *

Last Name *

First Name

Date of Birth *

JJJJ

Gender *

Female

Male

Prefer not to say

Anders:

Do you have a food allergy? *

Yes

If you have a food allergy, please list it here:

School District *

Grade *

Address *

City *

State *

Zip Code *

Tribal Affiliation *

Formulier wissen

Verzend nooit wachtwoorden via Google Formulieren.

Dit formulier is gemaakt in Oklahoma City Indian Clinic. Misbruik rapporteren

Formulieren