Event Registration for: Basic Computer Skills Workshop
Registree Information:
***We ask that you please fill out a separate form for each person attending this event***
First Name**
Last Name**
e-mail
Phone**
Register for your Child?
***Your child must meet the age requirements to participate in this program
Parent Name*
Kids Age*
Do you have a Library Card?
yes
no
Are you a Jefferson Resident?
yes
no
How did you learn about this event?
Antispam code: please enter the 3 black symbols
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