Manitowoc County UW-Extension Family Living Program

MANITOWOC COUNTY

Family Living

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PROGRAM AREAS

	Agriculture
	Community Development
	Family Living
	Horticulture
	Nutrition Education
	4-H Youth Development

OFFICE RESOURCES

	Office Map & Directions
	Staff Directory

OTHER RESOURCES

	Manitowoc County Government
	InfoSource
	UWEX Cooperative Extension
	UWEX Publications

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FAMILY LIVING - Home Alone Workshop Registration

Home Alone Workshops flyer (1 page, 49 KB)

REGISTRATION FORM - Pre-registration is required. Registrations are due Monday, September 24th. Please note that to use this form you must be connected to the internet and provide a valid email address for yourself.

Names (first and last) of the Adults that will be attending the workshop:

Adult 1 (first and last name):

Adult 2 (first and last name):

Names (first and last) and Ages of the Children that will be attending the workshop:

Child 1 (first and last name): and Child 1 Age (years):

Child 2 (first and last name): and Child 2 Age (years):

Child 3 (first and last name): and Child 3 Age (years):

Address:

Work Phone:

Email Address (required):

Questions and/or Comments?

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