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: