Saturday/Girls' Science Club 2023- Initial Intake Form
Important NOTICE: The next Saturday Science Club session will be on June 3rd.

Email Ms. Steph,, with questions.
  • Youth ages, 3.5 to 10 years of age
  • Saturdays, 12 to 3 pm (Girls' Club is on 2nd Saturdays, 2 to 4:30 pm), 
  • Shugah Baybees Child Development Center, 138th btwn ACP Jr Blvd & Lenox Ave
This form is an initial intake and RSVP form. If you have ALREADY completed this form please use,  to RSVP for additional Saturday Science Club sessions in 2023.

Visit our website,, to learn more about us.
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Email *
Full Name of YOUTH PARTICIPANTS. Please list all children that will be participating in the session. *
Current Age of Youth Participant(s).  *
The youth participant(s) is/are *
Full Name and Phone number of ADULT COMPLETING THE FORM *
For the adult completing the form: What is your relationship to the child? *
What are your family's identifiers? Please share any cultural, ethnic, or religious that you would like to communicate with us.

Note: This question is NOT mandatory. 
Emergency Contact Information- List the names and contact phone numbers of people OTHER than yourself who are authorized to pick-up the youth participant or who can be contacted in the case of an emergency. *
How did you hear about Ms. Steph's Science Club?
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