stART Poetry Workshop with Glenis Redmond

Registration Form

Students Name

First Name

Last Name

Parent Email

Phone

(###)

###

####

Where are we delivering your dinner?

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Who will be home to receive the delivery?

We will be dropping off the food between 2:30-3:30 on April 30 The event will begin online at 4:00pm

Do you have access to a smartphone, tablet, or computer that can access a ZOOM call?

Yes

Your Dinner Selection

1) BBQ Chicken & Cheddar Wraps with Tortilla Chips and Salsa OR 2) Grilled Veggie & Hummus Wrap with Tortilla Chips & Salsa