2019 Fall Science Saturdays Workshops
Science Saturdays is a fun hands-on learning opportunity geared toward students ages *12 and older that is sponsored by Learning Options, Inc.

This program in both Harrison and Marion County.

The HARRISON COUNTY workshops are held at 445 West Main Street, Room 299-A Clarksburg, WV.

The MARION COUNTY workshops are held at the Learning Options, Inc. facility in Fairmont, WV.

The workshops are held the *3rd Saturday of each month from 9am until 12 pm (Except August, which is the fourth Saturday to accommodate last-minute vacations). The Fall Session will run from August through November.

If you have any questions regarding a workshop, an instructor, or payments, please contact us by email at learningoptionswv@gmail.com

Each workshop costs $30. Register for ALL 4 and pay $100.

*All workshops are subject to cancellation if there is insufficient enrollment. Last minute changes, such as instructor and/or workshop topic, could occur due to circumstances beyond our control.

Please fill out a new form for each student that you are registering.
Pre-registration is required.

**It is required that you read the LOI Policies before submitting this registration. Please use the link provided below to do so.

https://goo.gl/KGC40U
Is this participant new to Learning Options? *
Student FIRST Name *
Your answer
Student LAST Name *
Your answer
Gender *
Please choose the race/ethnicity.
Date of Birth *
(xx/xx/xxxx)
MM
/
DD
/
YYYY
Grade in School *
Choose from the following workshop(s) for which you are registering your child. *
Required
Parent/Legal Guardian First and Last Name *
(First, Last)
Your answer
Street Address *
Your answer
City *
Your answer
State *
County *
Zip Code *
Your answer
Best number for us to contact you, if necessary. *
(home number or cell number)
Your answer
Email Address *
Your answer
1 Emergency Contact *
Name, phone number & relationship to the student
Your answer
2 Emergency Contact
Name, phone number & relationship to the child
Your answer
Please tell us briefly about any special learning needs, medical or other concerns. This information will help our instructors and staff provide the best possible experience for your child. *
(Such as: IEP, Dyslexia, Sensory issues, limited hearing, physical challenges, latex allergy, etc. If none, type n/a)
Your answer
Who is authorized to pick up your child at the end of the program? *
Your answer
What other LOI programs have you participated in?
Please check ALL that apply
How did you hear about Science Saturdays?
Please check ALL that apply.
Limited tuition assistance is available for students K-12 from LOI based on need. *
Agreement & Waiver: *
I, the parent/guardian, hereby affirm that I have read the statement of standards and policies of Learning Options, Inc. and agree to comply and to waive liability as stated in the standards and policies.
Laptop Procedure & Policy *
I, the parent/guardian, hereby affirm that I have read the LOI Laptop Procedure & Policy for parents & participants, using the link at the top of this page, and agree to comply.
Cancellation & Refund Policy (Use the link below to read the policy.) *
LOI Payment Policy (Use the link below to read the policy.) *
Publicity Release *
I, the parent/guardian, consent to the collection during this program of my child's personal images and created works by photography, video recording or any other record. I acknowledge these may be used on the Learning Options, Inc. website, newsletters, publications and other social media outlets as well as distributed to other participants in this program. I understand that no personal information, such as names, will be used in any publications unless express consent is given. I also understand that my consent can be withdrawn at any time in writing to Learning Options, Inc.
Liability Release: *
I certify that the information described above is accurate and complete to the best of my knowledge. I hereby release the LOI Board of Directors, the LOI Volunteer Staff, Harrison County Schools, and any designated individual in charge of the LOI group or specific LOI activity or program from any legal or financial responsibility with respect to my personal participation in or contact with any known element associated with an LOI activity or program.
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