Home Baked or Confectionary Goods Registration

Question Title

* 1. To register for this program, please provide the following information.

Name

Email Address

Street Address

City, AZ

Zip Code

Phone Number

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* 2. Would you like to receive emails from ADHS including information on food and product recalls, program information and healthy recipes.

Yes

No

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* 3. Do you have a food handler card (if required in your county)?

Yes

No

Not Applicable in My County

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* 4. What type of home baked food or confectionary item do you plan to make for sale?