Science Club Interest Form 
Please fill out this form if you are interested in enrolling your Primary - Lower Elementary student in the Science Club for the 2024 - 2025 school year. 
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Student Name
Student Grade in 2024 - 2025 
Parent Name and Email Address 
I understand that there are a limited number of spots for this class, and that registration is on a first come, first serve basis. The payment for this class will be done monthly, and will be paid directly to Carol Breece and The science Club. This payment has not connection to Anchor Academy or Anchor Academy tuition in any way. 
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