CHOOSE YOUR OWN DELICIOUSLY FUN FOOD ADVENTURE!

Kids take an adventure through their taste buds and minds with our Recipe House Healthy Cooking Summer Camp. Register below for one (or more!) of our themed week-long adventures. All forms and payments are required for camper enrollment. Deadline for registration is one week before first day of the selected camp. Ages 8-12

Which session would you like your camper to attend? 

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* 1. Which session would you like your camper to attend? 

Please tell us about your camper: 

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* 2. Please tell us about your camper: 

Parent/Guardian Contact Information: 

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* 4. Parent/Guardian Contact Information: 

Non-parent or guardian Emergency Contact:

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* 5. Non-parent or guardian Emergency Contact:

HEALTH CONCERNS
Is the camper on a special diet?

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* 6. Is the camper on a special diet?

Please list the foods which your camper should avoid, as well as those that are permissable

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* 7. Please list the foods which your camper should avoid, as well as those that are permissable

Please list any allergies to the following, and any treatment needed after exposrure. 

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* 8. Please list any allergies to the following, and any treatment needed after exposrure. 

Physician's Information 

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* 9. Physician's Information 

Please share with us any information about your child that will help us create a positive and supportive environment for them: 

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* 10. Please share with us any information about your child that will help us create a positive and supportive environment for them: 

**Events that occurs at home that may affect your child at camp are important to have communicated to camp staff. Please inform the Camp Program Director in confidence so that your student can be cared for compassionately and with understanding.Thank you!
Please share with us how you found our program: 

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* 11. Please share with us how you found our program: 

FOR QUESTIONS, CONTACT:
Paola Tello: paola@recipe4success.org 
713-520-0443

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