Name:

Address

Phone:


E-mail Address :

Names of children. Please indicate those with PKU with an * after their name.

Please check from the choices below the types of events you are interested in.
Family
Toddler
School-aged
Tween
Adult
Cooking Classes

For each type of event you entered, please suggest some possible events:


Are you willng to host an event?
Yes, I could host an event
No, I could host an event

Events you would like to see continued. Check all that apply
Valentine Party
Meet and Greet Coffee
Cake Decorating
Father child BBQ
Beach Party
Big Wig Golf Outing
PKU Camp
Walkathon Family
Cooking Classes

Other ways the PKU Organization can help you and your family


Please give us feedback about events that may not have worked or interested you in the past, or any additional comments that would be helpful to serve you better