Innovation Station LLC
Your destination for STEM learning
Registration Information
Student Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email Address
*
School:
CFES
HES
PES
UES
Not Listed
Upcoming STEM Club:
Squishy Circuits Deluxe Kit 3 Class Sessions Dates: January 5th, 12th, and 19th 4:30PM - 5:30PM
Squishy Circuits Deluxe Kit
3 Class Sessions
Dates: January 5th, 12th, and 19th
4:30PM - 5:30PM
Tol
Payments
prev
next
( X )
USD
$3.50 Online Convenience fee has been added to the total
Credit Card
First Name
Last Name
Credit Card Number
Security Code
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
Expiration Year
Please Verify
*
Submit
Should be Empty: