Dr. Tim Elmore, 2007
__________________ R E G I S T R A T I O N ____________________
Contact ZUM/TLC @ 638-4108 or submit the following form.
Please provide the following contact information:
First and Last Name: E-mail address: Phone Number: Number of Adults: All sessions: $10.00 per adult. No cost for child care. Checks are payable to "ZUM" in advance or at the door. Additional Contact information and map. Select all that apply: Grandparent or Grandmentor? Nov. 2 @ 6:30 p.m. Parents: The Ultimate Mentors Nov. 3 - 8:30-11:15 a.m. If requiring childcare for November 3 Number of Children: Ages of Children:
First and Last Name: E-mail address: Phone Number:
All sessions: $10.00 per adult. No cost for child care. Checks are payable to "ZUM" in advance or at the door. Additional Contact information and map.
Select all that apply:
If requiring childcare for November 3