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The University of Tennessee at Martin

The University of Tennessee - Martin

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Extended Campus & Continuing Education
110 Gooch Hall
University of TN at Martin
Martin, TN 38238
(731) 881-7080
Toll Free: 1-800-482-5199
Director: William R. Duffy
ecce@utm.edu

 

Parsons Kids College Registration Form

For more information, please see our letter to parents.

Student Name:
Date of Birth: Grade in Fall 2008:
Street Address:
City: State:
ZIP:
Email:
Parent/Guardian Name:
Home Telephone:
Work Telephone:
Cell Phone:
Emergency Contact Number:
Emergency Contact Name:
Kid College T-Shirt ($10):
   
Payment information. Please check one.
Cash. Please bring exact payment to 110 Gooch Hall.
Check. Make check payable to UT Martin and mail to:
Kid College
110 Gooch Hall
Martin, TN 38238.
Your check will serve as your receipt.
Credit/Debit Card: Contact ECCE at 1-800-482-5199, 731-881-7082 or
731-881-7940.