CHEMISTRY DAY STEAM Class registration
Sat., 10/7 from 10:30 to Noon - For any age children - LIMIT OF 20 KIDS - KIDS 6 & UNDER MUST HAVE A PARENT ATTEND WITH THEM
Child's Name:
*
First Name
Last Name
Parent or Guardian's name:
*
First Name
Last Name
Please provide your mail address so we may send you a reminder. (You will get an email confirmation immediately after submitting this form if you give us your email address.)
example@example.com
Mobile Phone number if you'd prefer a text reminder:
Please enter a valid phone number.
Submit
Should be Empty: