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UCann Cook Camps: 101 & 102
- Registration Form -
I am registering for the following UCann Cook Camp (please check appropriate box):
Camp 101: Tuesday, July 7th - Thursday, July 9th, 2015
Camp 102: Tuesday, July 14th - Thursday, July 16th, 2015*
* To register for Camp 102, your child MUST have previous kitchen experience: cooking skills, basic knife skills, etc.
Both camps meet 9:00am - 4:00pm at Gelfenbien Commons Dining Unit on the UConn Storrs Campus**
Cost for each three day camp - $160.00: checks payable to UConn Dining Services (Cost includes apron and chef hat)
UConn Department of Dining Services, One Bishop Circle, U-4071
Storrs, CT 06269, Attn: UCann Cook Camps - For more information call 860-486-3128
Student’s Name:
Date of Birth:
/
/
Age:
Male
Female
Home Address:
City:
State:
Does this child have any food allergies/sensitivities?
YES
NO
If yes, please explain:
Zip:
UConn Department of Dining Services is conscientious about
avoiding peanut cross contamination but cannot provide a nut-free
environment.
EMERGENCY CONTACTS
Mother’s Name:
Home Phone:
email:
Work Phone:
Cell Phone:
Father’s Name:
Home Phone:
email:
Work Phone:
Cell Phone:
Guardian’s Name:
Home Phone:
email:
Work Phone:
Cell Phone:
PHYSICIAN INFORMATION
Physician’s Name:
Phone Number:
In the unlikely event that your child may need emergency medical assistance, I give my consent for physician listed to arrange for emergency
transportion and/or administer care; or in the event that the physician designated on this form is unavailable, I give consent for the camp director to
arrange for emergency transportation and/or care, using the information provided on this form.
Signature:
REFUND POLICY:
will be refunded in full. If you need to withdraw from camp before the start date, the following fee(s) will be assessed: For Camp 101: a $50.00 fee will
be assessed for all refund requests received after June 26th, 2015. No refunds allowed after July 1st, 2015. For Camp 102: a $50.00 fee will be
assessed for all refund requests received after July 3rd, 2015. No refunds allowed after July 7th, 2015.
UConn Dining Services is a member of the National Association of College and University Food Service), National Restaurant Association, National Association of Convenience Stores,
Connecticut Northeast Organic Farming Association, Connecticut Department of Agriculture Farm to Chef Program, Working Lands Alliance, Buy CT Grown, Slow Foods
UCann Cook Camp 101
July 7th - 9th, 201
**Gelfenbien Commons, 3388 Towers Loop Road
Total amount received: $
Cashier:
UCann Cook Camp 102
July 14th - 16th, 2015
**Gelfenbien Commons, 3388 Towers Loop Road
Payment:
cash
check/#