|
Preschool Programs Registration Form 2007-2008 |
|
Fill Circle Below |
Small Fry Camps |
Dates |
Cost: $19 Members = $17 |
|
|
OO OO OO OO OO OO OO
|
Bellies, Burps and Bones Kitchen Chemistry Ocean Animals Creepy Crawly Science Digging Dinosaurs Magnetic Magic Arctic Animals
|
10/08/07 10/15/07 10/22/07 10/29/07 12/26/07 12/27/07 12/28/07 |
_________ _________ _________ _________ _________ _________ _________ |
|
|
Fill Circle Below |
Half Pint Science |
Dates |
Cost: $12 for 1st child, $6 add. children. Members: $10 and $5 |
|
|
OO OO OO OO OO OO OO OO OO
|
Dynamite Dinosaurs Fall Fun Trains Trucks and Trolleys Color Connections Games Galore 3-2-1 Blast Off! Wet Science Junior Geology Sun and Soil
|
9/10/07 10/1/07 11/5/07 12/3/07 1/7/07 2/4/07 3/3/07 4/7/08 5/5/08
|
_________ _________ _________ _________ _________ _________ _________ _________ _________
|
|
|
______________________________________ ___________ Name and (child #1) Age ______________________________________ _________ Name and (child #2) Age ____________________________________________ Name (parent/guardian) ____________________________________________ Mailing Address ____________________________________________ City, State, Zip ____________________________________________ Phone ____________________________________________ |
Grand Total
$ _______
|
Contact Jim Hodgin at 260-424-2400 ext 451 for more information. |
||
| Little Explorer Labs: Science4U and Tours: Contact Jim to Register | ||||
|
O Check O MC/Visa O Discover |
Name on Card:______________________________________________
Billing Address for Card: _____________________________________
___________________________________ Zip Code________________
Credit Card #: ___________________________ Exp Date: ____/_____
Signature:_________________________________ 3-digit code: _____
|
Send to:
Science Central 1950 N. Clinton Fort Wayne, IN 46805 www.sciencecentral.org |