Forensic Science & Cooking With Kids 
Registration 
Email *
Parent First Name  *
Parent Last Name  *
Parent Contact  Phone Number  *
Parent Address number, address, city, State  *
Parent Emergency Phone Number  *
Secondary Contact First Name  *
Secondary Contact Last Name  *
Child's Address number, address, city, State  *
Child First Name  *
Child Last Name  *
Child Age  *
Grade Level  *
Medical Conditions or Special Needs *
Medical Conditions or Special Needs. Please describe!  *
Physician Name  *
Physician Phone number  *
Physician Address *
In case of emergency please advise which Hospital is preferred?  *
In case of emergency please advise which Hospital is preferred?  *

Minimum Enrollment Requirement:

Please note that we require a minimum number of students to offer this Summer Enrichment Program. If we do not reach this minimum by Friday, August 16th, a full refund will be issued to all parents. We appreciate your understanding and look forward to a week of fun and learning with your children. If okay please move to the last question and click the payment link. 

*
To complete your registration, please proceed with the payment using the link below. The total fee for the Summer Enrichment Program, including registration, is $225 per child. *
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