Little Sparks Fall 2018 - Registration On-going

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Sparking creativity and igniting innovation in young minds
A preschool* exploration program with a STEAM focus!
6 sessions $270
Date: Thursday, Sept 27, Oct 4,11,18,25, Nov 1
Time: 1 - 3 pm
Location: Long Island Explorium

Email *

See your child "glow" at Little Sparks!

Name of Parent/Guardian *

Phone *

Home Address *

Name of Child #1 *

Name of Child #2 *

Gender *

Age of child #1 on Dec 1, 2018 *

Age of child #2 on Dec 1, 2018 *

Is your child currently attending preschool? If yes, note which preschool: *

Allergies or other information we should know that might impact your child's learning experience?

Is there anyone else who may pick up your child? Include name and phone number

In the event of an emergency whom should we contact? Include name and phone number

Payment can be made via check for $270 per child made payable to the Long Island Explorium. Full payment due at registration. Registration is not confirmed unless full payment is received. Cancellation of program requires 2 weeks notice in writing. *

I agree

I agree to allow the Long Island Explorium to use photos taken during the sessions for promotional use. *

Yes

Any questions or comments?

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