Easy Eats Camp Application

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* 1. Which session is your student interested in participating in?

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* 2. Student's Information

Name *

Address *

City/Town *

State/Province *

ZIP/Postal Code *

Email Address

Phone Number *

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* 3. Student's date of birth

MM / DD / YYYY

Date

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* 4. Current School Attending

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* 5. Current Grade

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12 Grade

Other (please specify)

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* 6. Parent/Guardian Information

Name *

Address *

City/Town *

State/Province *

ZIP/Postal Code *

Country

Email Address *

Phone Number *

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* 7. Contact in Case of Emergency

Name

Phone Number

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* 8. Alternate Contact in Case of Emergency

Name

Phone Number

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* 9. Does your student have any allergies?

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* 10. Does your student have any dietary restrictions?

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* 11. Students will have the opportunity to share some of their culinary creations at home. Please let us know if that is okay with your family.

Yes, my student may bring food home.

No thank you, we would prefer all the food stays in the kitchen.

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* 12. We love to celebrate and share our success! Do you consent to photos and/or videos of your child participating in our program to be shared for marketing, publications, and/or social media?

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* 13. How did you hear about this opportunity?

Facebook

Instagram

KidsPeace

BCAT

Parent Network

Previously attended a session

Other (please specify)

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* 14. Is there any additional information you would like to share with us?

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* 15. If you or your student has more than 1 "no-show" for camp, we reserve the right to remove them on the next camp to allow for another student to attend.
I understand the expectations of Camp or have reviewed it with my student. Not following these expectations could lead to students being asked to not attend in the future. Expectations include:

Arriving no more that 15 minutes late
Following directions from Camp Instructor(s)
Treating everyone with respect and kindness
Not using items or equipment that are not a part of camp
*COMMUNICATING with Chef Azia or Chef Elle if you are not going to make it. Please contact at 716-896-2180 ext 760 or email at apalmer@csevery1.com lgresham@csevery1.com

I understand the expectations and can't wait to have fun!