History Clubs Registration Form

Child's Name

First Name Last Name

Age

Do you wish to register another child?

Yes No

Child #2 Name

First Name Last Name

Child #2 Age

Do you wish to register another child?

Yes No

Child #3 Name

First Name Last Name

Child #3 Age

Do you wish to register another child?

Yes No

Please list the names and ages of any additional children.

Parent/Guardian Name *

First Name Last Name

Parent/Guardian Email *

example@example.com

Are you a family member (or higher level) of Strawbery Banke Museum? *

Yes No

Please use coupon code SBMHC to receive the member price. Your information will be verified and if you need to renew your membership, you will be notified.

Payment - Please check the box next to the club for which you are registering. Use the quantity to indicate how many children you are registering for each club. *

Living History Club (Feb. 1 - May 3, 2021) Meets every other Wednesday from 4:00pm -5:30pm for ages 12 - 17

$ 50.00 Quantity

Meet Felicity Book Club (January 5 - February 16, 2021) Meets every other Tuesday from 4:00pm - 5:00pm for ages 6 and up

$ 25.00 Quantity

Meet Samantha Book Club (March 2 - April 13, 2021) Meets every other Tuesday from 4:00pm - 5:00pm for ages 6+

$ 25.00 Quantity

Meet Molly Book Club (April 27 - June 8, 2021) Meets every other Tuesday from 4:00pm - 5:00pm for ages 6+

$ 25.00 Quantity

Enter coupon

Total

$ 0.00