Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Please complete the form below to register for the Nutrition 101 Workshop. If you plan to attend with additional participants, please have each person complete their own registration form before the workshop. Space is limited, and registration is required to reserve your spot. We look forward to learning, connecting, and exploring healthy nutrition together! Name *FirstLastPhone *Email *Date of BirthLegal Guardian (if any) *Race/EthnicityZipcodeI give permission to Boston Medical Center (BMC) and Friends & Mentors Inc. to photograph and/or record me and/or my child during the Nutrition Workshop Series. I understand that these photos and videos may be used for educational, promotional, and marketing purposes, including on websites, social media, printed materials, presentations, and other communications. *Yes, I consent.No, I do not consent.Once this information is shared, it is no longer controlled by BMC and may be re-disclosed by the recipient. You have the right to take back your permission. You can email communications@bmc.org or write to: Marketing and Communications, 960 Mass Ave., Boston, MA 02118. However, if you take back your permission, it will not affect any actions we took based on the permission. For example, BMC cannot take back information that was already shown on TV, printed in a magazine or copied by someone from the internet. Your participation is completely up to you. You do not have to agree to share your information. Your decision (either yes or no) will not affect your being able to get health care at BMC or payment for your health care. session media, presentations, If you consent to media release, please sign here. Clear Signature Which workshop session do you plan on attending? You are welcome and encouraged to attend all.July 8 – “Balance” Featuring a Cachupa food demonstration and dinner, a balanced meal discussion with trivia, a “guess the herb” activity, and a yoga session.July 22 – “Be Aware” Includes a Feijoada food demonstration and dinner, a mindful eating exercise, and an interactive activity identifying hidden sugars in commonly consumed beverages.August 5 – “Cleanliness & Purity” Highlights a Caldo Verde demonstration and dinner, yoga, guidance on healthy food swaps, and a hands-on healthy dessert pizza activity.August 19 – “Ingredient Consciousness” Features a Bacalao Pastelle demonstration and dinner, a build-your-own fruit salad activity, and an educational session on understanding healthy vs. unhealthy fats.Comment or MessageSubmit
