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Free 101 Workshop Registration
Join us for a free workshop led by a registered dietician!
You must be at least 18 years old to participate in a workshop.
Nutrition 101 and Diabetes 101 classes provide introductory-level information about nutrition, healthy eating habits and ways how to better self-manage diabetes.
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
Email (if no email address please put nomail@mail.com)
(Required.)
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4.
Phone Number
(Required.)
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5.
Age
(Required.)
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6.
What is your Zip Code?
(Required.)
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7.
How do you identify your gender?
(Required.)
Woman
Man
Non-binary
Transgender man
Transgender woman
Not sure
Prefer not to say
Other (please specify)
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8.
What is your race and/or ethnicity?
(Required.)
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or other Pacific Islander
White
Prefer not to answer
Other (please specify)