Home Based Online/In Person Program Registration
Extreme Science Kid is proud to call you Extreme Science family. We will have so much fun exploring  and learning new things together. We welcome you to Extreme Science Kid and hope you have an amazing time learning and exploring education and careers in S.T.E.M. with us.
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Email *
Are you a new explorer? *
Have you registered yet? *
Young explorer how old are you *
Please enter the product number
Young explorer what school do you go to? *
Young explorer what grade are you in? *
Young explorer what is your favorite subject in school *
Required
Young explorer what is your name? *
Young explorer do you have email? *
Young explorer what are some ideas you would like to explore?
Parent's Name *
Parent's Address *
Parent's Phone Number *
Parent's email *
Your Online Google classroom requires an email. What email would you like to use? *
Parent Are you willing to volunteer *
Parent what would you like to volunteer for *
Required
The three events below are free for your young explorer. Will you be attending? They are all on Friday early afternoon. Please select the events your young explorer will attend. *
Required
Lunch tickets are available for your young explorer. Extreme Science will provide your young explorer with a cheeseburger, hot dog, juice, water, and snack for a discounted ticket price of $5.00  Would you like to purchase a lunch ticket? Please select an event. *
Required
Popcorn, slushies, cotton candy will be provided and children will use weekly Extreme Science kids rewards to purchase items for free. So I will ensure my child completes the weekly assignments to earn his or her free wrist band for snacks. We will also attend the events below so please have a wristband for my child. *
Required
If you selected a lunch ticket for one of the events below have your purchased your discount ticket yet? *
Required
On July 9th Extreme Science will host an amazing S.T.E.M. development conference for children. We will have so much fun. Tickets are $45.00 and include a lunch buffet, custom lab coat, goggles, journal, pens, lanyards, and raffles. Children will participate in amazing activities, experiments and team build with friends. Parents are free to observe and supervise. Space is limited.  Do you plan on participating? *
Required
I have questions. I will email Renee@extremesciencekid.com, call or text Renee at 413-507-6827, or go to the website to purchase items at www.extremesciencekid.com  *
Required
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