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Science Adventure Classes: Online Registration Form

Registration FormConfirmationOnline Payment

This registration is for Science Adventure Classes, not Club Invention.

Parent's Information

Entries with * are required.

First Name*:Address1:*
Last Name*:Address2:
Primary Phone*:City:*
Secondary Phone:State*:
Email Address*:Zip Code*:

Participants' Information

So all students may have a positive learning experience, please indicate if your child has any of the following special needs. We will notify the instructor.In the Details field, if you registering multiple students, indicate the participant's name with each special need.
ADD ADHD Allergies(specify)
Asperger's Syndrome Physical Limitations (specify) Other (specify)
 
Details:

Enter one name and adventure per line. If a participant is an adult, choose "A" in the pulldown menu for grade.
Science Adventures that are full do not appear in the pull-down lists. Please call 630-840-8259 to add your name to a wait list.
For summer classes, register students for classes with the grade level they have just completed.
For example, a student completing grade 3 will not be eligible for a grades 4-6 class.


Participant's NameGradeScience AdventureFee




  Total:

Confirm Registration Information

Please review all your information and set Registration Information Confirmed to "Yes" to indicate you are ready to submit the registration. Then click Submit Registration
Registration Information Confirmed:*
Leave blank: