Registration: Capturing Memories 4.15.20

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Registration

To register, please take the time to fill out the information below.

First Name

Last Name

Email

Phone

Birth Date

City, State

1506 Kanawha Blvd. West

Charleston, WV 25387

304-720-1401

Hours of Operation: Mon-Fri 8:00am-4:00pm

Additional Parking: Charleston Orthopedic building located at

1532 Kanawha Blvd. W

Reasonable accommodations will be made to provide this content into reasonable alternate accessible formats upon request. Please contact the WVSU Extension Service at 304-204-4305 or extension@wvstateu.edu. West Virginia State University Research and Development Corporation is an equal opportunity affirmative action institution that does not discriminate on the basis of race, color, religion, sex, national origin, disability, or veteran status in any of its programs or activities.