Super Science Sunday Registration: Fall 2019-2020
Parent`s Last Name: *
Your answer
Parent`s First Name: *
Your answer
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).
Your answer
Emergency Phone Number: *
A number in case a parent cannot be reached
Your answer
Mailing Address - Street Name: *
Your answer
Mailing Address - City, State, Zip Code: *
Your answer
Student's Last Name *
Your answer
Student's First Name *
Your answer
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.
Your answer
How did you hear about our program? *
Your answer
Select the class you are registering for: *
Choose all the dates that your child will be attending the program.
Oct 27th
Nov 3rd
Nov 10th
Nov 17th
Nov 24th
Dec 8th
Dec 15th
Dec 22nd
Questions or Comments:
Your answer
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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