NERD Lab - Science Lab Registration Form

STEM WEEKDAYS 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*
Students Name(s)*
Are you using Step Up For Students ?*

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*

3D Design + Print - Snowflakes, 15 Jan (10a-11:30a)

$20.00 Quantity

STEM Explorers Club - 21 Jan - 25 Feb (9a-11a)*** This is a 6 week class.

$120.00 Quantity

Robotics Club: Masterpiece Challenge - 22 Jan - 26 Feb (10a-12p) *** This is a 6 week class.

$120.00 Quantity

STEM + Art: LED Pixel Art Cubes, 26 Jan (1pm-2:30p)

$20.00 Quantity

Digital Game Design: Ping Pong, 29 Jan (1p-2:30p)

$20.00 Quantity

Cupid's Probability Challenge, 5 Feb (1p-2:30p)

$20.00 Quantity

TINY TOTS: STEM Story Time - Porcupine's Cupid, 9 Feb (10a - 11a)

$20.00 Quantity

Escape Room: Valentine's Science, 12 Feb (1p - 2:30p)

$20.00 Quantity

TINY TOTS: Archaeology Site Dig, 23 Feb (1p-2p)

$20.00 Quantity

3D Design + Print: Tilt Maze & Ball, 27 Feb (10am-11:30am)

$20.00 Quantity

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Total

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STEM WEEKDAYS Registration