HOSA December 1st 2018 Science Saturday
Science Saturday sponsored by HHS HOSA
Saturday, December 1st 2018 from 9:00 am - Noon, Check-in at 8:45 am
Theme will be “the Holidays.”
3rd-5th grade students welcome - Harrisburg and out of district students welcome!
$20.00 per student due @ check-in (checks made out to HOSA, student name in memo line)
At Harrisburg High School
Please enter from the far west door of the high school.
What is your child's first name? *
Your answer
What is your child's last name? *
Your answer
What grade is your child in? *
What Harrisburg Elementary does your child attend? *
If your child does not attend a Harrisburg Elementary, please agree to this disclaimer:
I hereby consent to have my child participate in the Harrisburg HOSA Science Saturday.  I understand there are risks involved in such participation.  I certify that my child is able to participate and hereby authorize the HOSA advisors and volunteers to act for me in their best judgment in an emergency requiring medical attention for my child.
Parent/Guardian Name *
Your answer
Emergency Contact Phone Number *
(605)-555-5555
Your answer
Does your child have an allergies or medical issues we should be aware of? *
Your answer
I give the Harrisburg HOSA Chapter the right to take photographs of myself and/or my child for purposes such as publicity, illustration, advertising and Web content. *
If you would like us to email you about upcoming Science Saturdays and other opportunities, please provide an email address.
Your answer
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