EmailMeForm
Hands on Science Registration for THREE Children
Use this form for three children /same family
Parent Email
*
Phone
*
###
-
###
-
####
Parent Name / Contact Person
*
First
Last
Select school
*
Please select your school
Beekman Elementary
Gayhead Elementary
Parsons Memorial
PEARLS
St Patrick's Bedford
Vail Farm
Checkbox
*
Check box to register three children for $105.00
This price reflects a $10.50 sibling savings
Check lunch if desired
Optional Lunch for First Participant $3.50
Optional Lunch for Second Participant $3.50
Optional Lunch for Third Participant $3.50
You must check a box for each lunch you are ordering. Lunch is optional, you can bring money to buy lunch or bring a bag lunch from home. Pre-purchse of lunch saves you money
First Participant
Chid's Name
*
First
Last
First Participant
Child's Age
*
Please select child's age
5
6
7
8
9
10
11
12+
First Child
FIRST CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
First Child
SECOND CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
First Child
THIRD CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
First Child
FOURTH CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
First Child
FIFTH CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
First Child
SIXTH CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
First Child
SEVENTH CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
First Child
SURPRISE SPECIALTY WORKSHOP
*
Yes if available I would like my child to partipate
No thanks we will pass
From time to time we have a guest teacher with a class not on our list. if you would like your child to be selected to be a part of this "surprise" workshop check yes, if not check no.
Second Participant
Chid's Name
*
First
Last
Second Child
Child's Age
*
Please select child's age
5
6
7
8
9
10
11
12+
Second Child
FIRST CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
Second Child
SECOND CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
SOLAR SYSTEM / PLANETS
SOUND & MUSIC
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
Second Child
THIRD CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIMe LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
Second Child
FOURTH CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
Second Child
FIFTH CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
Second Child
SIXTH CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
Second Child
SEVENTH CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CCRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
Second Child
SURPRISE SPECIALTY WORKSHOP
*
Yes if available I would like my child to partipate
No thanks we will pass
From time to time we have a guest teacher with a class not on our list. if you would like your child to be selected to be a part of this "surprise" workshop check yes, if not check no.
Third Child
Chid's Name
*
First
Last
Third Child
Child's Age
*
Please select child's age
5
6
7
8
9
10
11
12+
Third Child
FIRST CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
Third Child
SECOND CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
Third Child
THIRD CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
Third Child
FOURTH CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
Third Child
FIFTH CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
Third Child
SIXTH CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 an up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
Third Child
SEVENTH CHOICE
*
Please select one
AMAZING AIR
BIRDS, FEATHERS & EGGS
CHEMISTRY FOR KIDS
CRIME LAB ages 8 and up
DINOSAURS
ELECTRICITY & MAGNETISM
FOSSILS
HURRICANES & STORMS
INSECTS
IN THE OCEAN
IT'S IN THE DIG
MAGICAL SCIENCE ( Magic)
OPTICAL ILLUSIONS ages 8 +
RAINBOWS & PRISMS
REPTILES
ROBOTS ages 8+
ROCKETRY ages 9+ /double period
ROCKS & MINERALS
STATIC ELECTRICITY
SOLAR SYSTEM / PLANETS
VOLCANOES & MOUNTAINS
WATER EXPERIMENTS
Unless noted all classes are for all ages and students will be in age appropriate groups.
Third Child
SURPRISE SPECIALTY WORKSHOP
*
Yes if available I would like my child to partipate
No thanks we will pass
From time to time we have a guest teacher with a class not on our list. if you would like your child to be selected to be a part of this "surprise" workshop check yes, if not check no.
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Optional Tax Deductible Donation
$
Dollars
.
Cents
ONLY put a dollar figure if you want to ADD more money to your registration. This form auto populates your fee.
Total
$0.00