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Registration – Field Trip

IMPORTANT MESSAGE:

Use the form below only for Field Trip Registration.  For Class (non-Field Trip) Registration, please click here to go to the specific registration form.  Please review our Schedules prior to registration.  Download the Field Trip Flyer here.

Welcome to our Registration page.  We look forward to having fun with your kid!  Please review our policy documents below before you register.  Don’t worry, our page is secure.

Child's Name:*
Sex:*
Birthdate:*
 / 
 / 
School Name:*
Grade:*
Parent/Guardian's Name:*
Relationship to child:*
E-mail:*
Address:*
Phone:*
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Known Allergies:*
List known allergies:
Special health need(s)? (We do not administer medication to your child)*
Special health need or accommodation request? (We will try our best but not guaranteed)
Emergency Contact:*
Emergency Contact Phone No:*
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Relationship to Child:*
Waiver form needs to be signed and submitted before the field trip starts.*
I have read the Bionerds Sexual Abuse and Misconduct Prevention Policy and understood the content.*
Join our mailing list?:*
Select Session*
How did you hear about us?*
Total Price:
Security Code: