FoodWIse Class Registration

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Thank you for your interest in FoodWIse nutrition education! All of our classes are free, confidential and open to the public. We look forward to working with you on your health goals!

Email *

I would like to pre-register for the following class: *

Farmers Market Tour (Wisconsin Rapids)

Farmers Market Tour (Stevens Point)

Grocery Store Tour (Walmart in Plover)

Grocery Store Tour (Walmart in Wisconsin Rapids)

Yuck to Yum

Cooking with Kids

Around the Table

Strongbodies

Healthy Babies

Food Smarts

Required

First name *

Last name *

Phone Number *

Zip Code

How did you hear about this program? *

Facebook

From a friend

SWEPS Mobile Food Pantry

South Wood County YMCA

Required

Programs that you and your family participate in: (check all that apply) *

WIC (Women, Infants & Children)

FDPIR (Food Distribution Indian Reservation)

Free/reduced School lunch/breakfast

TANF (Temporary Assistance for Needy Families)

Head Start (CPCD)

Prefer not to answer

None of the above

Other:

Required

Does your family qualify for FoodShare benefits? *

Yes

Unsure*

Other:

Required

*If you would like to see if your family qualifies for FoodShare benefits, please visit the Wisconsin Department of Health Service Website (https://www.dhs.wisconsin.gov/forwardhealth/apply.htm) to check eligibility.

Once you submit this form, you will receive a confirmation email.

Thank you for registering for nutrition education with FoodWIse! One of our educators will be in touch with you in 1-2 business days to confirm your registration and provide you with login information for the class.

By registering for this event, you are agreeing to the terms and conditions linked in our Participation Agreement: https://counties.extension.wisc.edu/portage/files/2020/10/SNAP-Ed-Virtual-FoodWIse-Consent-form-FY21-English.docx.pdf. Please read this information carefully. If you have questions or comments about the agreement or the program, you may contact the FoodWIse Coordinator at kelly.hammond@wisc.edu.

An AA/EEO employer, University of Wisconsin–Madison provides equal opportunities in employment and programming, including Title VI, Title IX and ADA requirements. Requests for reasonable accommodations for disabilities or limitations should be made prior to the date of the program or activity for which it is needed by calling 715-343-6254.FoodWIse is funded by the USDA Supplemental Nutrition Assistance Program – SNAP and the Expanded Food and Nutrition Education Program – EFNEP.

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