Unlimited Hands-On Science Pre-Registration
School Name
*
Jr. Specialist #1
*
First Name
Last Name
What is Jr. Specialist #1's Age?
*
4
5
6
7
8
9
10
11
12
13
14
Jr. Specialist # 1 Grade
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Other
Jr. Specialist #1 Homeroom Teacher's Name
*
Please List Any Conditions or Allergies That Would Affect Your Child's Participation (Jr. Specialist #1)
*
Jr. Specialist #2
First Name
Last Name
What is Jr. Specialist #2's Age?
4
5
6
7
8
9
10
11
12
13
14
Jr. Specialist #2's Grade
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Other
Jr. Specialist #2 School and Homeroom Teacher's Name
Please List Any Conditions or Allergies That Would Affect Your Child's Participation (Jr. Specialist #2)
Parent's Name
*
First Name
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Home Phone
*
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*
E-mail
*
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Street Address Line 2
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Registration Packet (located on menu bar of home page.)
*
Yes, I have completed the 2019-2020 Registration packet. (Can be emailed or returned to physical location.)
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Select your program and add-ons:
UHS Weekly Tuition (At Unlimited Hands-on Science)
$
70.00
Chesterbrook Academy-Pre-K Monthly
$
65.00
# of children
1
2
3
4
5
6
7
8
9
10
Midlands Montessori - PreK (MONTHLY)
$
50.00
# of children
1
2
3
4
5
6
7
8
9
10
Riverland Hills -MONTHLY
$
65.00
# of children
1
2
3
4
5
6
7
8
9
10
Hourly Tutoring
$
20.00
# of hours
1
2
3
4
5
6
7
8
9
10
Registration Fee
$
40.00
Processing Fee
$
5.99
Enter coupon
Apply
Total
$
0.00
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