Grandparents Raising Grandchildren Registration
Where: Florence Elementary School Library
When: December 12th, 2018

Any Questions please contact
Tierany Rugg
Human Development & Relationships Educator
5628 Forestry Drive
Florence, WI 54121
Phone: (715) 528-4480 ext 5

Email address *
Date Attending *
First name *
Your answer
Last name *
Your answer
Phone Number
Your answer
Children Attending (Names and Ages) *
Your answer
An EEO/Affirmative Action Employer, University of Wisconsin-Extension provides equal opportunities in employment and programming, including Title IX requirements. Please make requests for reasonable accommodations to ensure equal access to educational programs as early as possible (10 days is reasonable) preceding the scheduled program, service or activity. Call Jackie Stoneman 608-297-3141 to request an accommodation.
A copy of your responses will be emailed to the address you provided.
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