PKU Northwest Science Night RSVP NameEmail AddressPhoneHow many are in your party?How many in your party are under age 12?Will the child(ren) be attending the Kid Zone at the event?YesNoN/AIf yes, please put the name(s) and ages(s) of the child(ren) who will be in the Kid Zone. As well as if they follow a low protein diet and/or have any other food allergies.How many in your party have PKU?Does anyone in your party require a low protein meal?YesNoPlease list the names on everyone in your party and note if they have PKU.Do you want to sign up for PKU Northwest emails?Sign me up!NameRSVP
