Best number to reach you at:
Name of emergency contact person
Phone number of emergency contact person
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For 4-7 year olds on Wednesdays 10 am -12 pm (January 10, 17, 24, 31 2018)
For 8+ year olds on Wednesdays 6 pm – 8 pm (January 10, 17, 24, 31 2018)
For 8+ year olds – Wednesdays 1-3 pm (January 10, 17, 24, 31 2018)
For 4-7 year olds on Saturdays 4pm – 6pm (January 13, 20, 27, February 3, 2018)
Your first child’s first and last name
Your child’s date of birth
List your child’s allergies
List your child’s dietary restrictions
If adding a second child, you will receive a 10% discount if purchased together! Just select 2 instead of 1 before you add to cart at the bottom of this form.
If you’re signing up another child, please fill out the following:
Second child’s first and last name
Second child’s date of birth
Second child’s allergies
Second child’s dietary restrictions
If adding a third child, select 3 instead of 1 before you add to cart at the bottom of this form.
Third child’s first and last name
Third child’s date of birth
Third child’s allergies
Third child’s dietary restrictions
I acknowledge that I have read and accepted Orgali Holistic Nutrition Inc. policies. I hereby release Orgali Holistic Nutrition Inc. and all its contractors and partners from all claims, demands, losses, actions, suits, or proceedings rising out of the participation in any program, class or event being held. I understand that Orgali Holistic Nutrition has taken steps to create a safe and controlled environment for participation and has established rules for participation in the kitchen that must be followed. It is understood and expressly agreed to by the guardian that by making payment for the program, class or event the guardian agrees to indemnify and hold harmless Alina Muresan, Orgali Holistic Nutrition Inc., contractors and partners from any and all liability of any kind including but not limited to damages or injuries incurred in connection with participation of the guardians or the wards at the program, class or event and understands and accepts the risks inherent in the preparation, cooking and eating of the food at the program, class or event.
Sign up cooking classes for two or three children in one order, and get a 10% discount!
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