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Valentine Cookie Kit Order Form
First Name
Last Name
Phone Number
Email
Original or Gluten Free
Original
Gluten Free
Number of Cookie Kits
1
2
3
4
Student Supporting or N/A
Any additional comments:
I understand I must pick up my cookies on February 8th or 11th OR I am arranging a delivery from a Fairview Youth Student... Please choose what day you will pick up:
I am picking up my cookies on Sunday, February 8th, 2026
I am picking up my cookies on Wednesday, February 11th, 2026
I understand that my order will not be completed until I pay on the link (this page will redirect you after you hit submit)
YES
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