The cost of the workshop is $30.00 and is non-refundable. Payment must be received by 7 calendar days before the date of the workshop (or earlier) to guarantee your place at the workshop. If payment is not received, your place will be filled from our waiting list. Child care is available from 7:30 - 8:30 A.M. and from 4:00 - 5:00 P.M. The cost is a $10.00 per child flat fee which covers any or all child care provided. If your child will not be picked up until after 4:15, you will need to pay this additional fee. Supervision and activities will be provided.

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Child's Name: 

Parent/Guardian's Name: 

Street Address: 

City: 

State: 

Zip: 

Home Phone Number: 

Work or Emergency Phone Number: 

Please provide your e-mail address OR if you do not have an e-mail address, leave the current value.  The form will not work properly without a valid e-mail address in this field.
E-Mail Address: 

Grade your child will be in this fall: 

How did you find out about the workshop? 

Desired workshop date:
June 21: SOLDOUT  
July 12: SOLDOUT  
August 2: SOLDOUT  
Your child's T-Shirt size :
Youth Small: 
Youth Medium: 
Youth Large: 
Adult Small: 
Adult Medium: 
Adult Large: 
Adult Extra Large: 
Adult Extra Extra Large: 
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Zanesville Campus Library

1425 Newark Road
Zanesville, Ohio  43701
(740) 588-1404
http://www.zanesville.ohiou.edu/newlib/default.asp


If you have questions or require further information, please contact:
Tracey Humphrey
Ph: (740) 588-1405
E-mail: humphret@ohiou.edu