Registration Form

2011 Summer Workshops

Completion of this form does not guarantee placement for the workshop. Registrants will receive conﬁrmation.
All workshops are non-refundable and non-transferable except upon cancellation. Workshops are subject to cancellation based on minimum enrollment. Registrants will be notiﬁed of workshop cancellation within 48 hours of program start.

Salutation

First Name

Last Name

Home address

Address 2

City

State

Zip

Phone

E-mail

Are you a member?

Yes

Please indicate which workshops you are registering for.
(You may register for more than one workshop at a time.)

Rocket Science, August 1 – 5, Ages 7 – 10

Summer Sundays, July 3 – July 31, Ages 7 and up

Indicates Response Required