Positive Parenting Reservation Form

ADULT LEARNER PROGRAMS

Fall 2009 Event Reservation

Positive Parenting Strategies

Special topics speakers to help with the role of parenting.

Your Name:
E-mail:
Please click in the box to make your reservation for March 31:	Tuesday, September 1 - Student Center Leadership Room This meeting is from 12:30 p.m. - 1:45 p.m. Register by August 27 to be included in the lunch count. Tuesday, September 29 - Student Center Leadership Room This meeting is from 12:30 p.m. - 1:45 p.m. Register by September 23 to be included in the lunch count. Tuesday, October 27 - Student Center Leadership Room This meeting is from 12:30 p.m. - 1:45 p.m. Register by October 21 to be included in the lunch count.
Telephone Number:
Are you: (check all that apply)	Student Staff Faculty Alumni
KSU #:
Major/Work Department:
Ages of children (for future program planning):

If you are unable to honor your reservation, please
advise at least three days prior to the event.
These programs are funded by student activity fees.