Cooking Classes Form – Kids Details
Please Select Date
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Please Select Date
Tuesday July 05, 2022
Wednesday July 06, 2022
Thursday July 07, 2022
Wednesday July 13, 2022
Thursday July 14, 2022
Select Time
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Please Select Time
10 AM
12:30 PM
Select Time For Wednesday
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Please Select Time
12:30 PM
Select Time For Thursday
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Please Select Time
10 AM
Select Time For Wednesday July 13
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Please Select Time
12:30 PM
Parents Surname
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Parents First Name
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Mobile
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Email Address
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1st Kid Details:
1st Kid Surname
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1st Kid Name
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Any Allergies or dietary requirements?
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Yes
No
Specify:
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Is your child anaphylactic?
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Yes
No
Does your child require an EpiPen?
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Yes
No
If your child requires an EpiPen. The parents must stay within our venue during the class and provide an EpiPen.
Did you want to enroll your 2nd Kid
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Yes
No
2nd Kid Details
2nd Kid Surname
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2nd Kid Name
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2nd Kid: Any Allergies or dietary requirements?
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Yes
No
For 2nd kid: Specify:
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2nd Kid: Is your child anaphylactic?
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Yes
No
2nd Kid: Does your child require an EpiPen?
*
Yes
No
If your child requires an EpiPen. The parents must stay within our venue during the class and provide an EpiPen.
Did you want to enroll your 3rd Kid
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Yes
No
3rd Kid Details
3rd Kid Surname
*
3rd Kid Name
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3rd Kid: Any Allergies or dietary requirements?
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Yes
No
For 3rd kid: Specify:
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3rd Kid: Is your child anaphylactic?
*
Yes
No
3rd Kid: Does your child require an EpiPen?
*
Yes
No
If your child requires an EpiPen. The parents must stay within our venue during the class and provide an EpiPen.
Payment
We would like to take a group photo of the cooking classes on our social media
Do you allow the Organica company to display photos of your kids on social media?
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Yes
No
Name on Credit Card
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Card No
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Expiry Date
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CCV
*
The unit price is $40 per kid
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