REGISTRATION_WAIVER11.DOC  [31K]

TriniSoul Cooking Class Registration To register for a class, please complete all the fields below. Please submit a separate form for each child you are registering. Name of Child* Child's Age Child's Jacket (if ordered) X-SmallSmallMediumLarge ($2)Xlarge ($3)XXLarge ($4) Address Street: City: State:* New YorkNew JerseyConnecticut Zipcode: Dates Attending: June 22 - 26 - Foods of the USAJune 29 - July 3rd - Cuisines of the SunJuly 6 - July 10th - Baking July 13 - July 17th - Asian FoodsJuly 20th - July 24th - Cooking Italian July 27th - July 31st - Discover the Flavors of the southAug 3rd - Aug 7th - New Orleans Cajun Cooking Aug 10th - Aug 14th - Baking 11Aug 17th - Aug 21st - Southwestern and Tex MexAug 24th - Aug 28th - Tropical Paradise Parents Phone:* Cell Phone Emergency Contact Phone* Email Address Does your Child have Special Needs My Child is Autistic My Child has ADD/ADHD Is your Child taking Medication? If yes, What Medication is your child taking? Please List any food allergy or regilious food restriction your child may have: Describe your Childs Cooking Experience