After-School Enrichment Club Registration
This form will register your student for the Silly Scientists Club, which offers a fun, adventurous way for children to explore science. Each session includes interactive elements like songs, stories, lessons, and hands-on experiments. Best for grades 2 and up! This club will run for six weeks, 3:00pm to 4:00pm on Thursdays from September 19th through October 24th.
Student Name
First Name
Middle Name
Last Name
Grade
Please Select
First
Second
Third
Fourth
Fifth
Sixth
Your E-mail
example@example.com
Who will be picking up your child from school clubs?
First Name
Last Name
Phone Number
Please enter a valid phone number.
Emergency Contact
First Name
Last Name
Emergency Contact Number
Please enter a valid phone number.
Signature
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