Breads of Harvest
Registration Form

Name

School                                                       Grade               

Evening Phone                                                

E-mail Address                                               

I will be doing the “bread in a bag” activity. Yes        No        

Date supplies are needed                                 

Number of students in my class              
 
 

Send to: Karen Gwilliams
  OSU Extension, Union County
  18000 St. Rt. 4, Suite E
  Marysville, OH 43040 
 
 
 
 
 
 
 


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All educational programs conducted by Ohio State University College of Food, Agricultural, and Environmental Sciences are available to clientele on a nondiscriminatory basis without regard to race, color, creed, religion, sexual orientation, national origin, gender, age, disability or Vietnam-era veteran status.

Issued in furtherance of Cooperative Extension work, Acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture, Keith L. Smith, Director, Ohio State University Extension.
TDD # 1 (800) 589-8292 (Ohio only) or (614) 292-1868
Updated: October, 2005