Food Handlers Class Registration

FORM – English

Required Contact Information




Food Handlers - Class Registration Form




Gender: Male   Female

Race (check one or more):
White
American Indian
Asian
Latino
Black
Pacific Islander
Alaskan Native
Other

Ethnicity (check one or more):
Puerto Rican
Mexican
Cuban
Other
Not of Hispanic Orgin


Class Fee Paid: Food Hanlders - $20

Location:
Logan
Brigham City
Tremonton

I do hereby make application for a food handler permit and agree to obey all food service rules and regulations

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