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Lifestyle Medicine - Class Request Form

1. First Name *This question is required.

2. Last Name *This question is required.

3. Phone Number *This question is required.

4. Email Address *This question is required. This question requires a valid email address.

5. Name of organization and/or group the class is for

6. Number of people you'd like to have attend the class

7. Please let us know if you have a date(s) or month(s) in mind

8. Please let us know if you have a preferred time of day for the class

9. Is there anything else you'd like to share with us

10. Please select the type of class that you would like to schedule:

2-hour culinary medicine cooking class (In-person) - $1800
2-hour culinary medicine cooking class (Virtual) - $1000
1-hour culinary medicine cooking class with lecture + cooking demo (Virtual) - $600
1-hour lifestyle medicine lecture with MD/PhD and w/o cooking demo (In-Person or Virtual) - $600
1-hour lifestyle medicine lecture w/o MD/PhD and w/o cooking demo (In-Person or Virtual) - $400

11. Please select the topic(s) that your team is most interested in learning about.

Introduction to Culinary Medicine
Introduction to Lifestyle Medicine
Introduction to Plant-Based Cooking
Cooking for Heart Health
Sports Nutrition
Plant-Based Cooking in a Hurry
Whole Food Plant-Based Cooking
Healthy Breakfast
One-Pot and Make Ahead Meals
Cooking for Brain Health
Fats in the Diet
Carbohydrates in the Diet
Anti-Inflammatory Diet
Eating the Rainbow
Summer Harvest
Holiday Cooking
Eat Your Way to a Healthy Weight
Key Principles of Successful and Lasting Change
Power of Plants in Cancer Prevention
Fasting for Health
Top Foods for Immune Health
The Healthy Pantry: Your Gateway to Optimal Health
Introduction to Cooking with Tofu
Meal Planning and Preparation
Bone and Joint Health
Mastering Diabetes
General Cooking Class - no specific topic
Regional cuisine – Mediterranean, Caribbean, Italian, Indian, Mexican, Asian, and Southern

12. Is there another topic, not listed, that you would be interested in learning about?

13. For in-person classes, parking is not included in the class cost. If you would like us to validate parking for the class participants it is $10 per validation. Would you like parking validated?

14. For an additional fee, the Grand Rapids Downtown Market can provide beer and wine for your event. Would you like to have beer and/or wine available at your class?