WhizKids Registration
Welcome to WhizKids Registration! Please register for each child and each club separately. If you have any questions, contact us at whizkidsprograms@gmail.com or 601.214.2370.
Email address *
Register for Science Club II or Grossology II
Referral Information
How did you hear about us? *
Referral Name
Your answer
Student Information
Student's First Name *
Your answer
Student's Last Name *
Your answer
Club Selection *
Student's Gender *
Student's Grade *
Teacher's Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zipcode *
Your answer
After WhizKids, we will take your child to: *
The following people are authorized to pick up my child: *
Your answer
Allergies, medications, or other information we should be aware of?
Your answer
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