Workshop Sign-up Form

Please call our office after 3 working days if you have not received an E-mail reply/confirmation of registrations submitted through this website. (E-mail address needs to be provided to receive confirmation.)

* Indicates Required Fields
 

Identification

* Child's Name:
* Parent's Name:
* Parent's Home Telephone:
* Parent's E-mail Address:
 

T-Shirt

* Please indicate t-shirt size:

Youth Medium      Youth Large      Adult Small      Adult Medium      Adult Large     
 

Car Pool

* Please indicate your car pool preference:

Grade and Workshop Selection

* Please select workshops for your child for the grade level your child is in during the 2007/2008 school year:

Kindergarten: $95, Monday through Thursday, 2 classes. No choices necessary.

Grades 1 and 2: $95, Monday through Thursday, 2 classes. Indicate 1st, 2nd, and 3rd choices.
1st Choice: --- Select --- Chemistry Creative Art Grossology Insects and Their Relatives Kids in the Kitchen The Art of Ventriloquism
2nd Choice: --- Select --- Chemistry Creative Art Grossology Insects and Their Relatives Kids in the Kitchen The Art of Ventriloquism
3rd Choice: --- Select --- Chemistry Creative Art Grossology Insects and Their Relatives Kids in the Kitchen The Art of Ventriloquism

Referrer

* How did you hear about our program?
--- Select --- Booklet E-Mail Flyer Friend/Relative Platteville Journal School Newsletter Shopping News Teacher/Administrator TV 5 Web Other
 

Registrations will be processed when payment is received.
Paid registrations will be processed in the order in which they are received.