NERD Lab - Science Lab Registration Form

NERD Lab - Science Lab Registration

Please register for your STEM event by filling the form below.
***Step Up For Students should reserve funds through the EMA first and use "SUFS" coupon code. Pictures taken during event may be posted on social media.**
Parent Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Students Name(s)*
YesNo
By checking the box below, I understand that participation in NERD Lab's science labs involves inherent risks, including potential injury. I release and hold harmless NERD Lab, its staff, and affiliates from any and all liability related to my child's participation. I authorize NERD Lab to seek emergency medical treatment for my child if needed and accept responsibility for any associated costs. I grant NERD Lab permission to use photos or videos taken of my child during the labs for promotional purposes. I agree that my child will follow all rules and instructions provided by NERD Lab staff.*

I agree
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.

My Products

(Animal) Dissection - Mar 27th, 9-11a

$30.00 Quantity

Stoichiometry - Apr 3rd, 9-11a

$30.00 Quantity

Phase Transformations - May 1st, 9-11a

$30.00 Quantity

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Total

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