Explore Science Registration 2017-2018
Please fill out this form and make your payment for the lab. I will add your child to the schedule
after these two items are complete. Once the payment has been received and the registration document is filled out, I will enroll your child in the class You can either email me at ekahue@gmail.com and request an E bill or pay using the PayPal link on my website http://www.explore-science-beyond-the-classroom.com/ The Paypal link is on the right sidebar. You can't use a phone or tablet to pay, only a PC or Laptop. 24 hour full refund for cancellations.
Email address *
Name/age/grade of student
Your answer
Name of parent, phone, email
Your answer
Lab date and time you are registering for.
Your answer
Allergies
Your answer
My child has my permission to touch guinea pig, rabbit, lizard, goat, birds and 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 be enrolled on the schedule after the payment is made. If I delay the payment someone else may have signed up for the class time I am requesting.
A copy of your responses will be emailed to the address you provided.
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