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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

 

Youth Writers' Clubhouse Registration
Registration Form
Youth Writers' Clubhouse and Young Writers' Summer Camp
Date:

Young Writers' Summer Camp

June 16-18, 2008

Registration fee:  $70, Includes T-shirt, writing notebook, and an anthology of writing by campers.
 
Student Name:
School Currently Attending:
Date of Birth: Current Grade :
Street Address:
City: State:
ZIP:      Email:
Parent/Guardian Name:
Parent/Guardian Email:
Home Telephone:
Work Telephone:
Cell Phone:
Emergency Contact Number:
T-Shirt Size:
Payment information. Please check one.
Cash. Please bring exact payment to 110 Gooch Hall.
Check. Make check payable to UT Martin and mail to:
Young Writers' Clubhouse/Summer Camp
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.