UNIVERSITY HEIGHTS HIGH SCHOOL COOKING CLUB ____________________________________________________________________________________________________________
Program Overview
Dear Parent or Guardian, We are very pleased that your child has expressed interest in the Cooking Club at University Heights High School. This program will consist of 9 sessions during which students will learn to prepare a wide variety of foods and recipes. The program will allow students to explore culinary arts and expand their knowledge of food and nutrition. We hope to see your student with us for the program. Sincerely, Ysiant Sanchez HealthCorps Coordinator University Heights High School
Program Schedule (all sessions run 3:15-5pm after school) Session and Date Session 1 Wednesday, October 19 Session 2 Wednesday, October 26 Session 3 Wednesday, November 2 Session 4 Wednesday, November 9 Session 5 Wednesday, November 16 Wednesday, November 23 Session 6 Wednesday, November 30 Session 7 Wednesday, December 7 Session 8 Wednesday, December 14 Session 9 Wednesday, December 21
Topic Introductions, Goals, Hygiene, and Safety Vegetables (Mandatory Safety Test) Quick Breads Grains Pasta and Sauces NO MEETING – Thanksgiving Share Legumes Meats, Fish, and Eggs Healthy Desserts Conclusion Health Celebration
UNIVERSITY HEIGHTS HIGH SCHOOL COOKING CLUB ____________________________________________________________________________________________________________
Cooking Club Application Form
Name: ___________________________________________ Grade: _________
I, ________________________________________, want to be a part of the Cooking Club at University Heights High School. I understand that I must respect staff and follow all rules presented by staff and in order to participate. I understand that sessions will be held on Wednesdays after school from 3:15pm-5pm. I understand that if I do not follow the rules of the Cooking Club I may be removed from the program. ___________________________________________________ (Signature) To complete your application you must do the follow: 1. Have your parent/guardian sign the Parent/Guardian Permission Sheet. 2. Complete the Allergy Questionnaire. 3. Answer the following questions in the space provided: A. Have you participated in the Teen Battle Chef Program at University Heights High School within the last 2 years (circle one)?
YES
NO
B. Have you participated in the UHHS Cooking Club at UHHS within the last 2 years (circle one)?
YES
NO
C. Why do you want to participate in the UHHS Cooking Club? _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________
Forms are due to Ysiant by Thursday, October 13th, 2016 in Rm 312.
UNIVERSITY HEIGHTS HIGH SCHOOL COOKING CLUB ____________________________________________________________________________________________________________
Parent/Guardian Permission Sheet Parent’s Release: I, _______________________________________, hereby give permission for my son/daughter, ____________________________________, to take part in the Cooking Club at University Heights HS beginning Wednesday, October 19, 2016.
I agree not to hold either the University Heights School and/or any of its employees, nor HealthCorps and/or its employees responsible for any injuries or medical expenses that my child may incur during or as a result of participation in the Cooking Club at University Heights High School. I recognize that heat, knives, and other potentially dangerous objects are a part of the cooking process, and that my child will respect the rules and procedures outlined by staff to ensure the safety of all participants. Note: At least 2 staff members will be present and supervising students at all times. Students will be instructed in professional cooking safety and knife skills.
___________________________________________
______________________________________________
(Print Parent/Guardian’s Name)
(Signature of Parent/Guardian) Date: ________________________
Phone number(s) where parent/guardian can be reached in the event of an emergency: Home: ________________________________________ Cell: _________________________________________
UNIVERSITY HEIGHTS HIGH SCHOOL COOKING CLUB ____________________________________________________________________________________________________________
Allergy Questionnaire Dear Participant, Please fill out the questionnaire below as we would like to be made aware of any food allergies you might have in order to ensure your safety and wellbeing. Thank you for your cooperation, Ysiant Sanchez HealthCorps Coordinator University Heights High School Please write or circle the correct answer: 1) Do you have one or more food allergies (circle one)?
Yes
No
If the answer is no, please go to the bottom of this page and sign and date the form. If the answer is yes, please continue: 2) I am allergic to (please circle all that apply): Peanuts or other nuts — please specify type(s): _____________________________________ Seafood — please specify type: _______________________________________ Eggs Milk Wheat Gluten Other allergy — please specify the food(s) __________________________________
Name (Please Print): ____________________________________________________________ Signature: _____________________________________________ Date: ____________________