Outreach for K-12

Food Show: School District/Organization Registration

Please complete this form if you want to register for the Food Show, December 4, 2009.

* optional fields

Registration Information

Name First Name
Last Name

School School name
School District/Organization
Address
City
State
County
Zip

Contact Work Phone
Extension
Fax
E-mail Address
Confirm E-mail Address

Attendees

You must have at least one adult chaperone or advisor per ten students.

Maximum number of students attending
Number of chaperones attending

Presentation & Tour

If you’d like to make lunch reservations at Le Jeune Chef e-mail or call 570-327-4510

Which tour do you prefer?

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