Parent Name (Last, First, MI): __________________________________________________

Address: _____________________________________________________________

City/State/Zip: __________________________________________

Day Phone: ( )

Evening Phone: ( )

Fax: ( )

e-mail: ___________________________________

SWE Member/Student Member # : ________________ Section & Region: ______________

Check the dates your child will be registered

Will you and your child(ren) be attending the Family Program Meet & Greet at the Hyatt on Tues. evening, June 16^th? (circle one) YES NO

Since breakfast, lunch and snacks are included in the Children’s Program, we need some information on your child’s food preferences. Please circle your child’s choices as indicated.

Cereal: Cheerios, Cornflakes, Granola, Other: ______

Juice: Orange, Apple, Cranberry, Other: ______

Fruit: Bananas, Apples, Oranges, Other: ______

Bread: Wheat White With crust Without crust

Sandwich: Peanut Butter & Jelly (chunky or creamy, type of jelly: _______ ),

Tuna, Bologna, Other: _______

with (circle): lettuce, tomato, cheese, mayo, mustard, plain

Vegies: Carrots, Celery, Other: ________

Chips: Plain, Fritos, Sun Chips, Other: ________

Cookies: Chocolate Chip, Peanut Butter, Fig Newton, Other: ________

Other food comments:_______________________________________________________

_________________________________________________________________________

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Please fax this form by Monday, June 1, to Lisa Gilchrist at (713) 646-2114. If you have any questions, call or e-mail Lisa at (713) 853-1553 or LGILCHR@ENRON.COM.