SummerPalooza 2024 - Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please make sure your name and email address are correct!

This workshop is intended for schools and community organizations planning to operate a Summer Nutrition Program in Summer 2024. Each person wanting to attend must register individually, and registration will close November 17, 2023, or when registration is full. Registration in advance is required.

Tuesday, November 28, 2023 - Hickory Metro Convention Center (1960 13th Ave Dr SE #5186, Hickory, NC)

Wednesday, November 29, 2023 - McKimmon Conference and Training Center (1101 Gorman St., Raleigh, NC)

Thursday, November 30, 2023 - Eastern AHEC (2600 W. Arlington Blvd., Greenville, NC)

Sign-in starts at 8:30 am. The workshop runs from 9:00 am-4:00 pm. The same content will be provided at each workshop, so please register for and plan to attend only one workshop. Participants are responsible for all travel expenses including breakfast, beverages, snacks, lodging, and mileage.

If you are no longer able to attend and need to cancel your registration, please contact Katrina Perry at katrina.perry@dpi.nc.gov.

Email *

FIRST name *

LAST name *

Phone (optional, cell preferred)

Position *

County *

Select your organization type. *

Carolina Hunger Initiative (CHI)

NC Department of Public Instruction

School or school district

Community non-profit organization

Faith-based organization

Hospital

Other:

School Food Authority/Organization name *

Select the workshop you want to attend *

November 28, 2023 - Hickory, NC - Hickory Metro Convention Center

November 29, 2023 - Raleigh, NC - McKimmon Conference and Training Center

November 30, 2023 - Greenville, NC - Eastern AHEC

Media Release:

I hereby grant permission for the instructors of this workshop, the Carolina Hunger Initiative, the North Carolina Department of Public Instruction, and/or the news media to make photographs, images, video, and/or audio of me. I am over 18 years old and provide my consent to use the images as described above.

Yes

Do you need any accommodations for accessibility? If so, please explain.

Would you like a complimentary lunch? *

Yes

Do you have any special dietary needs? [NOTE: We may not be able to accommodate all needs. We will reach out to you regarding any accommodations as needed.] *

None

N/A, no lunch

Dairy or milk allergy

Wheat or gluten allergy

Egg allergy

Soy allergy

Fish allergy

Shellfish allergy

Peanut (ground nut) allergy

Tree nut allergy (e.g., almonds, pistachios, cashews, pecans, etc.)

Sesame allergy

Vegetarian

Vegan

Kosher

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of North Carolina Department of Public Instruction. Report Abuse

Forms