NERD Lab - Science Lab Registration Form

Eglin Homeschool Academy 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. Refunds available until 5 days before event.***
Parent Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Students Name(s)
Are you using Step Up For Students ?
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.
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.

My Products

GK-3: Balloon Cars - 9/4 (9-10a)

**minimum participation required

$20.00 Quantity

G4-8: Rube Goldberg- Balloon Pop, 9/18 (10:30-11:30a)

**minimum participation required

$20.00 Quantity

GK-3: Witch's Brew - 10/16 (9-10a)

**minimum participation required

$20.00 Quantity

G4-8: Hocus Pocus, 10/16 (10:30-11:30a)

**minimum participation required

$20.00 Quantity

GK-3: Robotics Unplugged, 11/13 (9-10a)

**minimum participation required

$20.00 Quantity

G4-8: Rube Robotics Maze, 11/13 (10:30-11:30a)

**minimum participation required

$20.00 Quantity

GK-3: Acids & Bases, 12/11 (9-10a)

**minimum participation required

$20.00 Quantity

G4-8: Gingerbread House Geometry, 12/11 (10:30-11:30a)

**minimum participation required

$20.00 Quantity

GK-3: Rate of Reactions, 1/15 (9-10a)

**minimum participation required

$20.00 Quantity

G4-8: Strawberry DNA, 1/15 (10:30-11:30a)

**minimum participation required

$20.00 Quantity

GK-3: Bubble-ology, 2/19 (9-10a)

**minimum participation required

$20.00 Quantity

G4-8: STEM Escape Room, 2/19 (10:30-11:30a)

**minimum participation required

$20.00 Quantity

GK-3: Straw Rockets, 3/12 (9-10a)

**minimum participation required

$20.00 Quantity

G4-8: Hot Air Balloon, 3/12 (10:30-11:30a)

**minimum participation required

$20.00 Quantity

GK-3: Earth Day Investigations - Earth Worms, 4/16 (9-10a)

**minimum participation required

$20.00 Quantity

G4-8: STEM + Art - Pixel Art Cubes, 4/16 (10:30-11:30a)

**minimum participation required

$20.00 Quantity

GK-3: Ice Cream Science, 5/15 (9-10a)

**minimum participation required

$20.00 Quantity

G4-8: 3D Design & Print - Tilt Maze, 5/15 (10:30-11:30a)

**minimum participation required

$20.00 Quantity

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