Workshop Registration Form

1. Family Voices: Our Shared Journey

Join us for Family Voices: Our Shared Journey, a free six-week series for the whole family!

Youth ages 5–14 will take part in Camp, Cook & Play—learning cooking skills, food safety, and preparing their own snacks to enjoy.

Parents and caregivers will participate in story-sharing workshops to connect with neighbors, shape the program through their voices, and discover helpful resources to support family success.

Sessions are held Saturdays, October 4 – November 15, from 9:30–11:30 AM at Stanford L. Warren Library.

Childcare is available for children under five, and light snacks will be provided.

Question Title

* 1. Name

Question Title

* 2. Email

Question Title

* 3. Phone

Question Title

* 4. How do you identify yourself?

Male

Female

Prefer not to say

Other (please specify)

Question Title

* 5. Are of Spanish, Hispanic, or Latinx ethnicity?

Yes

Question Title

* 6. How would you describe yourself? Please select all that apply.

American Indian or Alaskan Native

Asian

Black or African American

Native of Hawaii or the Pacific Islands

White

Other (please specify)

Question Title

* 7. Has your child participated in any of the following programs? Please select all that apply.

Exceptional Children's program (has an IEP or individualized education program)

Academically or Intellectually Gifted (AIG) program

English Language Learner (ELL) or English as a Second Language (ESL) program

None of these apply to my child

I am not sure

Question Title

* 8. In what grade is your child?

1st - 5th

6th - 8th

9th - 12th

Other (please specify)

Question Title

* 9. How many youth will join Camp, Cook, Play?

Question Title

* 10. What school are your children attending?

Question Title

* 11. If you need childcare for children under 5 years, what age is your child?

Question Title

* 12. How did you hear about our workshop?

Social media

Friends/family

Co-worker

Our website

Other (please specify)

Workshop Registration Form

1. Family Voices: Our Shared Journey

Question Title

* 1. Name

Question Title

* 2. Email

Question Title

* 3. Phone

Question Title

* 4. How do you identify yourself?

Question Title

* 5. Are of Spanish, Hispanic, or Latinx ethnicity?

Question Title

* 6. How would you describe yourself? Please select all that apply.

Question Title

* 7. Has your child participated in any of the following programs? Please select all that apply.

Question Title

* 8. In what grade is your child?

Question Title

* 9. How many youth will join Camp, Cook, Play?

Question Title

* 10. What school are your children attending?

Question Title

* 11. If you need childcare for children under 5 years, what age is your child?

Question Title

* 12. How did you hear about our workshop?

Question Title

* 13. Do you or your child have any dietary restrictions or allergies?