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DSANV Cooking Club Course Registration
Event Timing: 10am - 12pm | Saturday, June 22nd | July 13th | July 24th | August 10th | August 24th
Event Address: 10467 White Granite Dr, Oakton, VA 22124 | Cafeteria
Contact us at (703) 461-1129 or
shekinahs@dsanv.org
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Email
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Student Name
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Student Age
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Parent or Chaperone Name - Please note that a Parent /Chaperone age 18 or older is required for each participant to ensure the safety of each person in these group cooking classes
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Email
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Phone Number
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Emergency Contact Name and Phone Number
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Dietary restrictions - Please contact Shekinah Stevens at
shekinahs@dsanv.org
prior to June 22 to discuss any food allergies or dietary restrictions and how best to manage them in the group cooking lesson format
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I understand that there is a $140 registration fee for this course which includes a copy of Janice Goldschmidt’s award winning book and the food and tools used to prepare meals in class.
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I understand that the registration fee will be processed in a separate PayPal transaction.
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This form was created inside of DSANV, Down Syndrome Association of Northern Virginia.
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