2019-2020 Registration Form
I will add your child to the schedule when payment is made and registration is complete.
You can either email me at ekahue@gmail.com and request a Venmo (Petronella Kahue) or Paypal (Petronella Kahue ekahue@gmail.com) The PayPal link is on my website http://www.explore-science-beyond-the-classroom.com/ The link is on the right sidebar (If you are using a phone scroll down to the full screen option) 48 hour full refund for all cancellations. Full refund for inclement weather. One child same family $22.50 Two children same family $40 Three or more children same family $60 7 plus Labs per child 10% discount
Email address *
Parent Name, email, and phone number *
Your answer
Name of Child *
Your answer
Lab date and time you are registering for and please indicate if you are registering as a homeschool group and which one. Homeschool groups need to pay their homeschool representative not me. *
Your answer
Allergies or medical conditions I should be aware of *
Your answer
My child has my permission to touch guinea pig, rabbit, lizard, goat, birds or other lab animals. *
I will allow my child's picture to be used in blog or Facebook articles but no name will be attached to pictures. *
I understand that my child will not be enrolled on the schedule until after the payment is made. If I delay the payment someone else may have signed up for the class time I am requesting. I will not register for a class that is already full.
I understand the my other children are not allowed to run on the property during and after the lab and that we will leave immediately after the class unless the Kahue's are present and give permission.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service