Fantastic Friday Science
- special deals -
Registration Form
Directions:  Please fill out this from completely and click the "submit" button at the bottom of the page.  You will be directed to the payment page after submitting your registration information
I, as parent/guardian of the above referenced child/children, give my permission for my child to participate in Fantastic Friday  Science.  I have read, understand, and will adhere to all policies oultined above, including but not limited to the medication policy.Further, I understand, agree to, and accept the policies of Hands-On Learning Services, with the understanding that neither the facilitators of this event nor AACPS, nor Eastport Elementary School are responsible for lost articles or injury.
Child's Name: LAST, FIRST
Child's school
Parent/Guardian Name (Last/First)
(note: please also include child's last name if different from parent)
Parent/Guardian Email Address
Parent/Guardian Phone number
Alternate/Cell Phone Number
Please provide the NAME and PHONE NUMBER of an EMERGENCY CONTACT that we should call in case we cannot reach the parent/guardian listed above.
Emergency contact name
Emergency contact phone number
If you know ahead of time that someone other than parent/guardian will  be dropping off or picking up your child/children from Friday Science, please indicate below the name of the person who will be doing so:
Name of drop off/pick up person ("parents" or name of other pick up person)
Health Information
Does your child have any food allergies or other health concerns (physical, behavioral, emotional, etc) that we should know about?  
If yes, please explain below.
It is our policy that all medications- prescription and/or over-the-counter- must be administered at home.  We will not administer or permit on the premises prescription or over-the-counter medications at Fantastic Friday Science.  The only exceptions are emergency medications such as epi pens and athsma inhalers.
Medication Policy
Photo release
Hands-On Learning, LLC, has my permission to take photos of my child during Summer Science and to post the photos on the company website, twitter, facebook, or instgram.  NAMES WILL NEVER BE INCLUDED WITH PICTURES.
Special Instructions & Requests please enter if applicable
To complete registration, please click the submit button below.  After submitting, you will be directed to the payment page to complete the process.
We're sorry, but we do not refund money for missed classes.  However, if you must miss a session that you have paid for, you can transfer the registration fees to another child or apply the fee toward a future Friday Science session.
The session(s) listed below are eligible for this special rate 

Special Pricing:

$28/ 1child
(regularly $38)

$55 for 2 kids

$70 for 3 kids 
Child's grade
(note: if you want your child to be in the same group as a friend, make sure both children are registered as being in the same grade)
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March 8 (Spring Into S.T.E.A.M.)
I agree to the policies outlined above
YES (there is a health concern)
NO (there is no health concern)
YES (may take and post photos)
NO (may not take and post photos)