Enrollment

Join the Green Kids Science Club!

Ready to dive into the exciting world of science and STEM? We’re thrilled to have you join our community of young explorers, innovators, and future scientists! Fill out the form below to get started, and let’s make learning fun, hands-on, and full of discovery.

We can't wait to welcome you to our club and start exploring the wonders of science together!

Green Kids Club Application

Students Name

Age

DOB

Address

Address Line 2

City

Zip

County

Parent/Guardian Name

Phone Number (H)

Cell Number

Contact Name & Number in case of an emergency

School Attended:

Grade:

What are your interest or hobbies?

Is Student involved in sports?

What sport:

Describe your child's math skill

Good

Fair

Poor

Has the Student enrolled in a mentoring or tutoring program?

Yes

Will the child be available Saturday from 10:00AM to 1:00 PM?

Yes

Parent Signature

Date

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(980) 422-1613

(980) 413-5960

FAX: (704) 626-2687