AIMS Hands On Programming 25-26

2025-2026 Hands On Registration Form

Fill out the form carefully for registration. Please contact Laura Jenkins at laura.jenkins.1@health.slu.edu with questions.
School Name*
Teacher Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Teacher E-mail*
example@example.com
Teacher Cell Phone Number*
School Business Administrator's Name*

First NameLast Name
School Business Administrator's email address*
example@example.com
Grades of Students In Attendance*
Programming Options (2 program discount $30 per student)*

Cadaver Demonstration (Must be a minimum of HS sophomore) ($16 per student)Pig Heart Dissection ($16 per student)Pig Eye Dissection ($12 per student)Sheep Brain Dissection ($20 per student)
Total Number of Students in Attendance (Minimum of 10 students required)*
Date Preference #1*

MonthDayYear
Date
Date Preference #2*

MonthDayYear
Date
Date Preference #3*

MonthDayYear
Date
Preferred Time (Please plan to arrive 15 minutes early)*

9:30 am- 10:30 am11:00 am - 12:00 pm
Would you like to reserve the dining hall?*

YesNo
Have you attended an AIMS program before?*

YesNo
If this is your first time with us, how did you hear about us?
Would you like to include a campus tour?*

YesNo
Would you like to eat at the SLU Grand Dining Hall (cost per student)?*

YesNo
PAYMENT POLICY :
I understand by submitting this registration I will be invoiced for 80% of the total cost, which is due upon receipt. For any remainder due, you will be billed separately following completion of your program. If 80% payment is not received by 30 days prior to your program, you will be responsible for 100% of the students you registered for.

No refund will be provided for amounts less than 80% of your initial total student registration.

Cancellations 30 days or more before the scheduled program will receive a full refund. Cancellations within 30 days will receive a refund, less a $100 nonrefundable deposit.
Yes, I acknowledge that I have read and understand the payment and cancellation policy above.
Additional Comments
Should be Empty:

2025-2026 Hands On Registration Form