KIDS COOK! Registration Form

KIDS COOK! Registration Form - Submit for each registered child

KIDS COOK! 2010 CULINARY CAMP REGISTRATION FORM

Please complete all the fields below to register your child for Kids Cook! Summer Camp. Be sure to also click on the "Add to Cart" button and pay online, or call Chef Diane with a Credit Card at 443-865-0630. Please submit a separate form for each child you are registering.

For liability reasons, proof of age of your child may be requested.

Parent's/Guardian's Name:
Parents' Email Address:
Child's Name:
Child's Age as of June 1st
Name of Friend Referred -10% Off::
Choose your Chef's Coat Size (if ordered) Jackets are Men's sizes::
Address Street:
City:
State:
Zip Code:	(5 digits)
Parent's Daytime Phone:
Emergency Contact Phone:
Cell Phone:

Name of person child will temporarily reside with during Camp dates:
Temporary Address during Camp dates (if different than home address):
Dates & Program Attending
Describe any behavioral issues we should know about:
	My child is autistic
	My child has ADD/ADHD
Describe child's Health Issues and/or special needs
What medications is your child taking?:
Child's Physician's Name & Telephone Number:
Please list any Food Allergies your child has:
	My child carries an EPI PEN
	My child's allergies can be life threatening
Describe Your Child's Cooking Experience & Interests
Has your child attended a Kids Cook! summer program before?
Which program? When?:

Cancellation Policy:If it is necessary for a camper's reservation to be cancelled for personal reasons or because of a change in family plans, For the Love of Food must be informed in writing by April 15, 2010. After that date, refunds will be made only if a replacement can be made for that session. Any change of session within 4 weeks of registration is subject to a $35.00 change of session fee. If the change of session request comes more than a month after registration, the change of session fee will be $55.00. And/or if the session change comes after May 15, 2010, and the spot cannot be filled, you will be required to pay for the full week. If the spot can be filled, you will still be responsible for the change of session fee.

We look forward to sharing another exciting summer making new friends, learning new skills, cooking & eating lots of wonderful foods! See you soon!