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Food Smarts Kids
Nutritional Program For Middle School Students
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How many kids/teens are you registering
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1
2
3
4+
Name(s) and Age(s)
*
Your answer
Food Allergies and Sensitivities?
*
Gluten-free or Celiac
Lactose Intolerance
Vegitarian
Nut allergy
None
Other:
Any other accessibility concerns?
*
Your answer
Is there anything in particular you're interested in learning about?
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Which class format works best for you
Best
Okay
Not preferred
In-person
Live virtual
Pre-recorded/on demand
Best
Okay
Not preferred
In-person
Live virtual
Pre-recorded/on demand
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What is your availability in terms of days and times?
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Mornings
Afternoons
Evenings
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Mornings
Afternoons
Evenings
Monday
Tuesday
Wednesday
Thursday
Friday
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Sunday
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