JD003-04252026_Registration_and_Consent

🧬 National DNA Day Special – Register by April 20, Monday Special Offer

Celebrate National DNA Day with an exciting, hands-on biomedical experience designed to inspire curiosity and a love for science. Students will participate in a full day of three engaging activities, combining genetics, human biology, and real-world medical exploration.

🎉 Special Offer – Register by April 20, Sunday
Students who register for the Heart Dissection session in the afternoon by April 20 Monday will receive complimentary access to the full-day experience. Spaces are limited and available on a first-come, first-served basis.

🧪 Full-Day Experience Includes

Morning: Interactive DNA and genomics activities celebrating National DNA Day
Midday: Supervised museum experience (students may purchase lunch at the museum; please consider any food allergies)
Afternoon: Hands-on heart dissection
📝 How to Participate

Register for the Heart Dissection option using the link below.
In the Comments section of the registration form, include:
“Full Day – registration special offer.”
Complete registration by April 20, Monday, or earlier if capacity is reached.
Students may also choose to register separately for the DNA Day activities or the Heart Dissection session, subject to availability.

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Join us for a memorable day of discovery as we celebrate the science of DNA and human health through hands-on learning and real-world biomedical experiences!

BioMedEdu Programs – DNA Day Celebration & Junior Doctors Program (Heart Dissection)
Student Registration & Required Consents

Please submit a separate registration form for each student, even for siblings or twins. Thank you! For students under age 12, a parent or adult guardian must be registered for the Heart Dissection session. If registering multiple children, the same parent or guardian may be listed, and the registration fee only needs to be paid once.

Program Title:
BioMedEdu 2026 DNA Day Celebration & Junior Doctors Program – Heart Dissection

Recommended for students in grades 5–9 (heart dissection suitable for higher grades as well)

Date:
April 25, 2026 (Saturday)

Location:
The Health Museum

Program Schedule & Options (Select One):

• Full Day Experience (11:00 AM – 4:00 PM) ⭐ Recommended
A guided, full-day program designed for deeper learning, continuity between sessions, and a more complete educational experience.
Participate in both DNA Day and Heart Dissection sessions, with a supervised museum exploration and lunch break (1–2 PM) with peer interaction (lunch brought or purchased by students).

• DNA Day Celebration (11:00 AM – 1:00 PM)
Hands-on activities, experiments, and interactive exploration of genomics.

• Junior Doctors – Heart Dissection (2:00 PM – 4:00 PM)
Hands-on heart dissection experience focused on anatomy and disease.

Fees (Student):

• Full Day Immersion Experience 11 - 4 PM: $155:
• DNA Day 11 AM - 1 PM: $55
• Heart Dissection 2 - 4 PM: $95

Parent Access Pass: $40
Provides in-room presence during the session. Parents may observe and support their student. Parents will not participate in dissection.
Recommended for students who prefer to complete the activity with their peers rather than with a parent.

Parent Co-Learning Participation: $95
Parents actively participate alongside their student in the dissection experience as a shared learning activity.
Recommended for parent–student pairs who would like a hands-on experience together. Each group will include up to four participants.

Lunch:
Students may bring their own lunch or purchase food at The Health Museum café.
To best accommodate individual dietary needs and preferences, lunch is not provided.

Important Notes:

• Space is limited. Registration will close once capacity is reached.
• Heart Dissection has limited seats due to materials and safety requirements.

• Refund Policy:
Registration fees are non-refundable, as space, staffing, and materials are reserved in advance. We encourage families to review the schedule carefully and confirm availability before registering. If schedule changes, please contact us at least 4 days before the program start (April 21). When feasible, we will do our best to offer a credit toward a future program.

You may also transfer your registration to another student, provided that:
• The transfer is approved in advance by our team.
• The new student completes the required registration form and waivers (request a new registration form)

A waitlist will be available if the program fills. Families will be contacted if a spot opens or if additional sessions are added.

Registration & Contact:

For more information, please visit:
https://www.biomededu.org

For questions, contact:
info@biomededu.org

You will receive an email copy of your completed registration after submission.

Student First Name*

Student Last Name*

Student Email (Please ensure this email address is correct.*

example@example.com

School Name*

School City and State*

School District Name

Parent First Name*

Parent Last Name*

Parent/Guardian Email (Please ensure this email address is correct. Your confirmation and completed registration will be sent here.)*

example@example.com

Medical Liability Waiver & Emergency Medical Authorization: I acknowledge that participation in Institute-organized educational activities may involve inherent risks. I agree that the Institute for Biotechnology and Biomedical Education and The Health Museum and its representatives are not responsible for injuries or medical conditions except as required by law. In the event of a medical emergency, I authorize appropriate medical care for my child and understand all associated costs are my responsibility.*

I have read the consent carefully and agree to the terms.

Please list any allergies medical conditions or special needs

Phone

Format: (000) 000-0000.

DNA Day Celebration 11-1 PMHeart Dissection 2-4 PMFull Experiences 11 AM - 4 PM

12 years and olderYounger than 12 years (required to register a parent/adult for dissection session, please select a parent/adult access or participation)

Name of Parent or Adult Guardian Accompanying the Student (Required for Students Under Age 12 – Heart Dissection Session)

Program Fee: The program fee includes materials and admission to The Health Museum. Because space and program resources are reserved in advance, registration fees are non-refundable. We encourage families to review the schedule carefully and confirm availability before registering. If unexpected circumstances arise, please contact us. We will do our best to help when possible including offering credit for a future class. Or you may transfer your registration to another student, provided that: 1)The transfer is approved in advance by our team; 2) The new student completes the required registration form and waivers (request a new registration form without the payment requirement).

Student Full Day Immersion Experience | Heart Dissection+ DNA Day | 11-4 PM (Special Offer, register by April 20)

If register student under 12 for heart dissection, please select parent access or participation.

A guided, full-day program designed for deeper learning, continuity between sessions, and a more complete educational experience. Participate in both DNA Day and Heart Dissection sessions, with a supervised museum exploration and lunch break (1–2 PM) with peer interaction (lunch brought or purchased by students).

$95.00 Quantity

Parent Access Pass (For students younger than 12 participating in dissection)

Provides in-room presence during the session. Parents may observe and support their student. Parents will not participate in dissection.

Recommended for students who prefer to complete the activity with their peers rather than with a parent.

$40.00 Quantity

Parent Co-Learning Participation (For students younger than 12 participating in dissection)

Parents actively participate alongside their student in the dissection experience as a shared learning activity.

Recommended for parent–student pairs who would like a hands-on experience together. Each group will include up to four participants.

$95.00 Quantity

Junior Doctors-Heart Dissection 2-4 PM ONLY | Student

If register student under 12 for heart dissection, please select parent access or participation

$95.00 Quantity

DNA Day 11-1 PM ONLY | Student

$55.00 Quantity

Total

$0.00

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Today's Date*

Date

By entering my first and last name below, I confirm that I am the parent or legal guardian of the student, have read and understood this Parental Consent & Medical Liability Waiver, and agree to its terms. I acknowledge that my electronic signature is the legal equivalent of a handwritten signature and give permission for my child to participate.*

ParentLegal Guardian

Important: please click Submit to complete your registration or save it and come back to complete. You will receive an email copy of your completed registration after submission.

Comments (for parents registering siblings, please indicate their names here, and only need one payment, and list student names, and adult name