Family Foodies Registration Form

Your Details

Thank you for your interest in the Family Foodies program. By completing this form you can register yourself and other family members to participate in a Family Foodies workshop. Thank you for completing this form.

* One workshop per person is permitted (all workshops are the same)
* Workshops are designed for families with primary school-aged children

* All children must be accompanied by a parent / guardian

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* 1. I am registering for the next Family Foodies workshop: Wednesday 16 August 2017 (9:30am to 10:30am) - TOOWOOMBA - Level 3, Toowoomba City Library, Victoria St, Toowoomba

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* 2. Please provide your contact details below:

Name

Phone

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* 3. ADULT PARTICIPANTS: Please provide name/s of parents / guardians attending the workshop:

Name

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* 4. CHILD PARTICIPANTS: Please provide name/s and age/s of child / children attending the workshop:

Child 1 (Name & Age):

Child 2 (Name & Age):

Child 3 (Name & Age):

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* 5. How did you hear about this program?

Newspaper

Facebook / Twitter

Council website

Community organisation

Doctor / health professional

CHANGE e-newsletter

Another CHANGE activity

Poster / flyer

Council's Bold Magazine

Friend / Family

Healthy & Active Directory Booklet