Kwanzaa Workshop Registration Questions? Call Simone Bess 513.720.2323 Question Title * 1. Name Question Title * 2. Email Question Title * 3. Phone (optional) Question Title * 4. Do you follow any of the these dietary restrictions? (Please select all that apply.) Vegan Vegetarian Religious Dietary Restrictions (e.g., Kosher, Halal) Lactose Free Low Salt Food Allergy (e.g. gluten free, peanut free) I do not follow any of these dietary restrictions Prefer not to answer Other (please specify) Question Title * 5. I will bring and supervise a child or children with me. 1 2 3 4 5 6 Child Ages Done