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2025-2026 Chefs in the Classroom Request Form

Please fill out the form below if you would like to have our Chef visit your school for a demonstration and tasing of a healthy recipe with your students for a special event during the school day.

  • Due to popularity, there are a limited number of school visits to be scheduled.
  • Each school may only request 1 in-person demonstration per school year.
  • School nurse must approve the recipe once it is sent via email.

Deadline for requests: May 1, 2026

1.School Name:(Required.)
2.School Address: (Required.)
3.Name of Person Completing Form:(Required.)
4.Email of Person Completing Form:(Required.)
5.Alternate Contact Person:
(Back up person just in case you are absent the day of event.)
(Required.)
6.Alternate Contact Email:(Required.)
7.School Nurse Name:(Required.)
8.School Nurse Email:(Required.)
Please provide an estimate of the demographics of students participating in the activity:
9.Provide an estimated percentage:(Required.)
10.Provide an estimated percentage:(Required.)
11.Age Group:(Required.)
12.Number of Students:
(Due to the nature of this activity, class size is limited to 50 students. Please email healthyschools@atlanticare.org to discuss the possibility of adding more students.)(Required.)
13.Grade Level(s):
(Students in grades K-12 may participate.)
(Required.)
14.Room Type/Location:
(ie: gym, cafeteria, etc. - larger spaces are preferred)(Required.)
15.List Any Known Food Allergies:
*Recipes are adjusted based on submitted food allergies only. We cannot always adjust recipes based on voluntary diet preferences/observances.(Required.)
16.Requested Date:
(Please be as specific as possible to assist with scheduling and list multiple date options. Requests must be made at least 3 weeks in advance.)
(Required.)
17.Requested Time:
(Please note start and end time allowing 45 minutes for this activity.)
(Required.)
18.Schools must provide a minimum 8 ft. long folding table & access to a large garbage can.(Required.)
19.To celebrate AtlantiCare's ongoing partnership with area schools we would like to take photos/videos throughout the event. In preparation, all students and staff participating are requested to return a signed AtlantiCare photo/media release.
*All students will be allowed to participate in any AtlantiCare activity no matter their parent/guardian's approval or disapproval in completing this form.(Required.)
Thank you for submitting this request. An AtlantiCare Healthy Schools Team member will contact you within 72 hours to discuss the availability of our team and to schedule this activity.