Household Information

Please use this form to enroll your child(ren) in the PAL Online Cooking Class. Be sure to only complete this form once for the entire household and all youth that will be registering for activities. 

If changes to the registration need to be made, please do not fill out a new registration form. Instead, contact PAL directly at policeathleticleague@city-buffalo.com.

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* Parent Name

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* Household Address

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* Contact Information

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* Number of People who live in your household (including yourself):

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* Annual Household Income:

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* Would you like to receive information on how to enroll in Molina Healthcare?

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* For internal purposes: Level (PARENTS PLEASE SKIP)

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* For internal purposes only: (PARENTS PLEASE SKIP)

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