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ETHOS Science Academy Registration
April/May 2017
$75.00
per session (4 workshops)
Scholarship rate:
$40.00
per session (4 workshops) when available
(Registration & payment
must
be received one week before classes begin)
Select April 2017 Classes
*
(Ages 5 - 7, Tuesday) New Plants
(Ages 8 - 10, Tuesday) Plant Growth & Development
(Ages 11 +, Tuesday) Plant Experiments
(Ages 11 +, Thursday) Anatomy & Dissection
(Ages 8 -10, Thursday) ONE SPOT LEFT - Transitional Robotics
Select May 2017 Classes
*
(Ages 5 - 7, Tuesday) New Plants
(Ages 8 - 10, Tuesday) Plant Growth & Development
(Ages 8 - 10, Thursday) Transitional Robotics
(Ages 11 +, Tuesday) Plant Experiments
(Ages 11 +, Thursday) Anatomy & Dissection
Name of Student
*
First
Last
Date of Birth MM/DD/YYYY
*
Physical Limitations, Allergies, Medications, Etc.
*
Parent or Guardian's Name
*
First
Last
Parent or Guardian's Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Home Phone or Primary Phone Number
*
Work Phone
*
Child should take any prescribed ADD/ADHD medication before attending workshop to ensure the safe and enjoyable experience for everyone.
Camp Rules:
1.
I will respect fellow campers and instructors.
2.
I will participate in all activities to the best of my ability.
3.
I will act in a safe and responsible manner.
4.
I will have FUN!
Child's E-Agreement
*
Parent's E-Agreement
*
Emergency Contact
*
Emergency Phone Number
*
Any Additional Comments
*
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