[vc_row][vc_column width=”1/1″][text_output]

REGISTRATION
Seasonal Cooking Camp Program

Please fill out and submit the form below to register for Andrea’s Seasonal Cooking Camp Program (Spring or Winter). One adult can register up to three children—who must be siblings—for a single course fee. Simply separate their names and ages with a comma.

(note: your spot will ONLY be confirmed once payment is received)[/text_output][/vc_column][/vc_row][vc_row][vc_column width=”1/1″]

    Adult Name: *

    Child Name(s): *

    Child Age(s): *

    Phone Number: *

    Email Address: *

    Has your child ever taken part in a program like this before? *

    NoYes

    List any utensils/appliances your child is familiar with:

    Where are you joining from (region)?:

    • I/We have read and understand the information provided in this form and give permission for my son/daughter to participate in Andrea’s Online Holiday Baking Camp Program. I/We, hereby warrant that my/our child is physically and psychologically fit to participate in cooking and meal preparation activities and understand that the choice to participate brings with it the assumption of those risks and results which are part of these activities.
    • I/We understand that photographs and/or videos may be taken of my/our child of the online setting of this program, and may be used for display, publications and promotion for Andrea Falcone, Registered Dietitian and Certified Fitness Professional.
    • I/We permit Andrea Falcone to collect and use information provided and communicate as needed.

    [/vc_column][/vc_row]