2021-2022
Innovation Boulevard
Afterschool Registration
Health & Science Innovations
Innovation Boulevard(iBLVD) is an afterschool program provided by Health and Science Innovations, Inc. and MSDLT at Belzer or Fall Creek Valley Middle Schools.
To register, parents/guardians must complete this form. If you are registering more than one participant, please submit a separate form per child. The registration has to be filled in one session.
Please complete every section of this registration! Spots are available on a first-come-first-served basis.
The minimum required attendace for Innovation Boulevard Afterschool is 65 out of 130 days of programming. This allows flexiblibity for participants who need it or who also participate in other concurrent extracurricular activities (sports, clubs, etc.).
Signature Conditions
By signing below, I attest that all information included in this application is complete and correct.
Health and Science Innovations, Inc.
2060 N. Shadeland Ave., Suite 110 | Indianapolis, IN 46219
Ph: (317) 703-7836 | contact@scienceinnovations.org
www.scienceinnovations.org