Home School Days Registration Form
Dates & Themes (Recommended for Grades K-5)
Friday, September 8: Blast Off!
Explore asteroids and comets! Investigate Isaac Newton’s three laws of motion and how they apply to space aviation. Become astronauts aboard the International Space Station and fly a simulated space mission.

Friday, October 13: STEAM
Full STEAM ahead! Learn how science and art are intertwined in nature. Examine how caterpillars metamorphose into butterflies and create a model of the process. Use 3-D pens & other tools to design sea creatures to take home.

Friday, November 10: Go Green!
Reduce, reuse, recycle! Discover the ways you can help the Earth sustain its natural resources. Use Snap Circuits Green kits to learn about the different forms of environmentally friendly energy: geothermal, wind, solar and more.

Friday, December 8: Heat Wave
Solid, liquid or gas? Discover what happens when molecules are heated or cooled, explore how thermometers work and make Shrinky Dinks (figurines baked-to-shrink in an oven) and/or Fuze bead designs (colored beads fused together using an iron).

Friday, January 12: Geology Rocks!
Become a geologist! Complete a series of experiments that explore the Earth's layers. Experiments may include: cupcake geology, identify rock layers using candy bars, and learn the rock cycle using shredded crayons.

Friday, February 9: Out of this World
Take an adventure through the solar system! Design planet headbands or create your own pocket solar system and analyze the sizes and distances of the planets. Includes a showing of Perfect Little Planet in the planetarium theatre.

Friday, March 9: Code Lab
Become a software engineer! Make code bracelets, learn your name in binary code, and use ScratchJr, an introductory programming language, to complete the programming challenge “Can I Make the Sun Set?”

Friday, April 13: Robotics On-the-Move
Ready, set, go! Build different types of transportation robots using LEGO WeDo 2.0 kits featuring motors and motion sensors. Learn techniques to measure distances and master the basics of force and motion.

Friday, May 11: Engineering Challenge
Push the limits of innovation! Construct several formations and test the strength of different building materials and shapes. Explore the various engineering fields through exciting demonstrations and experiments.

Additional Information
PROGRAM INFORMATION
Program sessions are held on the second Friday of each month from 9:00 am - 12:00 pm. If you have a Home School Group of at least 16, additional dates and times may be available. Contact the sales manager for more information. Parents are permitted, but not required to attend with child.

COST
The cost is $20 per student per program for registrations received before 12:00 p.m. the day before the program. The cost is $25 per student per program for registration received after 12:00 p.m. the day before the program. Home School Days Annual Subscriptions are available for a discounted cost of $160 per student and include all programs listed above. CLC family membership holders receive a 10% discount on individual programs. Discounts cannot be combined and no other discounts apply. Cost includes all materials and a popcorn snack.

PRE-REGISTRATION
The registration form must be completed and submitted before 12:00 p.m. the day before the program to receive the discount ($20 or $160 for Annual Subscription). Registration is complete and confirmed on receipt of completed registration form and full payment. Programs are limited in size; therefore, registrations will be processed on a first-come, first serve basis. Registration after 12:00 p.m. the day before the program or at the door is accepted, if space permits, and costs $25 per student per program.

CANCELLATIONS/REFUNDS
No refunds will be offered for Home School Days programs. For cancellations received at least 48 hours prior to any program, your registration fee may be applied to future Home School Days programs.

Contact Information
Should you need additional information, please call (850) 645-7777 weekdays from 7:00 am to 4:00 pm. For content/curriculum questions, contact our Education Manager at (850) 645-7787.

Parent/Guardian Name *
Your answer
CLC Family Membership Holder? *
Address *
Your answer
City, State Zip *
Your answer
Email Address *
Your answer
Phone *
Your answer
Home School Group Affiliation (If Applicable)
Your answer
Student Information
Student 1
Name *
Your answer
Grade *
Your answer
Age *
Your answer
Birthdate *
MM
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DD
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YYYY
Student 2 (If applicable)
Name
Your answer
Grade
Your answer
Age
Your answer
Birthdate
MM
/
DD
/
YYYY
Student 3 (If applicable)
Name
Your answer
Grade
Your answer
Age
Your answer
Birthdate
MM
/
DD
/
YYYY
Student 4 (If applicable)
Name
Your answer
Grade
Your answer
Age
Your answer
Birthdate
MM
/
DD
/
YYYY
Program Selection
Please choose one or more.
Program Dates *
Required
Payment Information
Payment will be accepted in advance or at the door, if space permits. Pre-registration is complete and confirmed on receipt of completed registration form and full payment. Registrations accepted on a first-come, first-serve basis. VISA, MasterCard, Discover, AMEX, FSUCard, check or cash only. Please do not mail cash. Cash or check may be dropped off at our administrative offices or at the box office with a valid sale number during business hours. If paying by check, you must also provide your driver's license number.

If you select credit card, the sales manager will call to collect your payment information via phone. You may also contact the sales manager at (850) 645-7777 if you prefer. If you select the check or cash option, please bring the payment to the Challenger Learning Center after submitting this form.

Pre-Registration: # OF PROGRAMS x $20 PER STUDENT
Annual Subscription: $160 PER STUDENT

Amount to be Charged: *
Your answer
Payment Type *
If paying by check, please remit to:
Camp Challenger!
Challenger Learning Center of Tallahassee
200 South Duval Street
Tallahassee, FL 32301
Payment Electronic Signature *
Your answer
Media Release
This is to certify that I, _____________, give permission to the Challenger Learning Center, Florida A&M University and Florida State University to photograph and/or videotape for use on their website, social media, promotional brochures or during a local newscast or print interview. I understand that all rights, title and interest in the photography used belong to the Challenger Learning Center, Florida A&M University and Florida State University and that I will receive no financial compensation for the use of these pictures and/or videotape. I further understand that the above agencies may edit, copy, alter, or revise the photographs and/or videotape for use on our website, social media, promotional brochures or during a local newscast or print interview and that the above agencies will retain control over the use and distribution of the photographs and/or videotape. I have read this form and I understand its meaning. *
Liability Release
I, ____________, hereby grant my child(children), _____________, permission to attend the Challenger Learning Center's Home School Days program, and release CLC staff, Florida A&M University, Florida State University, instructors, employees, sponsors and the Challenger Learning Center of any and all liability connected with his/her/their attendance.
Liability Release Electronic Signature *
Your answer
Authorized Pick-Up
Please note that all parents and authorized individuals must present photo identification when picking up a student.
My child will be picked up from the Challenger Learning Center by: *
Your answer
Policy Acknowledgement
I have read and understand the program information and policies, including the policy on cancellations.
Policy Acknowledgement Electronic Signature *
Your answer
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