opportunities in employment and programming, Raising Your Spirited Child including Title IX and ADA To ensure equal access, e-mail: ___________________________ Registration Form please make requests for reasonable accommodations as soon as possible prior to the scheduled program, service or activity. If you need this material in another format, please contact the UW-Extension Office. Please return form with payment by Friday, September 29th, 2017 to: Raising Your Pierce County UW-Extension Spirited Child October 3, 10 & 17, 2017 For more information contact Lori Zierl at (715) 273-6781 Pierce County Office Building or Lower Level Meeting Room lori.zierl@ces.uwex.edu 412 W. Kinne St. Ellsworth, WI 54011 Name/s: __________________________ 6:30 8:30 pm – _________________________________ Address: _________________________ Facilitated by Lori Zierl _________________________________ Family Living Educator Phone: ___________________________ UW-Extension, Pierce County University of Wisconsin-Extension, U.S. Dept. of counties cooperating. UW-Extension provides equal
Raising Your Spirited Child Registration Form Please return form with payment by Friday, September 29th, 2017 to: Pierce County UW-Extension For more information contact Lori Zierl at (715) 273-6781 or lori.zierl@ces.uwex.edu Name/s: __________________________ _________________________________ Address: _________________________ _________________________________ Phone: ___________________________ e-mail: ___________________________ University of Wisconsin-Extension, U.S. Dept. of counties cooperating. UW-Extension provides equal opportunities in employment and programming, including Title IX and ADA To ensure equal access, please make requests for reasonable accommodations as soon as possible prior to the scheduled program, service or activity. If you need this material in another format, please contact the UW-Extension Office. Raising Your Spirited Child October 3, 10 & 17, 2017 Pierce County Office Building Lower Level Meeting Room 412 W. Kinne St. Ellsworth, WI 54011 6:30 – 8:30 pm Facilitated by Lori Zierl Family Living Educator UW-Extension, Pierce County
SPIRITED-BRO-Oct-2017-Ellsworth.docx