October Camp Registration

Cooking Class October 2015 Registration Form

Note: The class fills quickly. Wait for the confirmation email entitled "You're in!" with payment instructions - it will arrive within 24 hours. Sessions run 12pm - 3pm on Monday, Tuesday and Wednesday 10/12-10/14 at a private home in the Willows neighborhood of Menlo Park. Lunch is included. Fee is $65/day or $165 for all 3.

* Indicates required field

Student Name *

First

Last

Session Days *

Student Grade in Fall 2015 *

School for Fall 2015 *

Parent Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent Email *

Parent Phone Number *

Alternate Email *

Alternate Phone Number *

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Carpool and Student Release Permissions *

Comments: Special needs, allergies, dietary issues or other concerns *

Payment is due to confirm registration. Please wait for a confirmation email - it will come within 24 hours - with payment instructions.

Submit