Scaling Up Science Registration Form

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Scaling Up Science Registration Form - Fall 2022

I understand that space in the Route 104 Science airstream is limited and my child is committing to both semesters of the Scaling Up Science class. *

I agree

Student's Name *

Student's Current Age and Birthdate *

Student's allergies or relevant medical conditions (N/A if none) *

Any special learning needs or preferences (N/A if none) *

Best Contact Information for Parent or Guardian *

Next Steps

Please submit your registration fee ($45) to hold your child's spot in the class. Payments can be sent through PayPal (kenneth@sciencebetweenthepages.com) or Venmo (kenneth-fleming-11). If your payment method includes a processing fee, please include that in your payment.

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