Nursery/Kindergarten Super Science Sunday Registration: Winter 2020
Parent`s Last Name: *
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Parent`s First Name: *
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Parent`s Phone Number *
The phone number of a parent who we should call in an emergency (Parents must be available and reachable during their children's class).
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Emergency Phone Number: *
A number in case a parent cannot be reached
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Mailing Address - Street Name: *
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Mailing Address - City, State, Zip Code:
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Student's Last Name *
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Student's First Name *
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School Student Attends: *
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Student's Grade in School: *
Required
Email Address: *
This will be used for important updates and communication regarding the current session.
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Select the class you are registering for: *
Choose all the dates that your child will be attending the program.
Feb 2
Feb 9
Feb 16
Feb 23
Mar 1
Mar 8
Mar 15
Mar 22
How did you hear about our program? (Please select all that apply) * *
Required
Questions or Comments:
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After clicking submit, you will be prompted to make an online payment.
Each Sunday Program is $12 per child or $90 for all eight Sundays.

Discounts for multiple children enrolled:
$174 for all eight Sundays for two children
$258 for all eight Sundays for three children
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