Healthy Eating and Tasting Program Registration (6/24/2021)

DATE OF BIRTH * Required
MM slash DD slash YYYY
NAME
First Last
EMAIL * Required
PHONE * Required
RESIDENCE COUNTY * Required
GENDER * Required
RACE * Required
PROFESSION
Register for the following ZOOM HEAT Demonstration * Required
Please attend on the day of the event
- June 24, 2021 at 2pm