Science Lab Tutorials
2008-2009 REGISTRATION FORM
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Parents’ Names
__________ and _________ ______________________
Address
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Phone (____) ___________Hm (____) ___________Cell / Wk
Email _________________________________________
LETTER AGREEMENT
I have read and understand the policies on tuition payments and dropped classes and agree to abide by them.
I further agree to make every effort to have my child(ren) at each lab throughout the year, to arrive on time, and to pick them up promptly at the appointed time.
I agree to instruct and supervise my children regarding appropriate behavior before, during, and after science labs both in entering and leaving the building. Any child who does not have a proper respect for authority or is disruptive will not be allowed to attend.
Parent signature ____________________ Date: __________
RELEASE FROM LIABILITY
I give Science Lab Tutorials permission to conduct science labs with ___________________________________________________
child(ren)’s name(s)
I understand all reasonable precautions will be taken to keep my child safe. I will not hold Science Lab Tutorials, or any facility used to conduct labs responsible for any harm or injury that might occur while participating in science labs.
Parent signature ____________________________Date:____________
Person to contact in case of emergency if I cannot be reached:
Name ____________________________________Phone ___________
Print & mail this completed form along
with the
registration fee and May tuition (will be cashed June 1) to:
Science Lab Tutorials
6218 Kittyhawk Dr
Rowlett, TX 75089
