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Registration – Ladera Ranch

IMPORTANT MESSAGE:

Use the form below only for Ladera Ranch LARCS Classes, ONLY FOR LADERA RANCH RESIDENTS.  For other facilities, please click here to go to the specific registration form.  Please review our Class Schedules prior to registration.

 

Welcome to our Registration page. When you register, your child will bring home these items with him or her:

  • A FREE Bionerds T-shirt (while supplies last, so let’s get started!).
  • A little “live friend” as a reward for good behavior in class (surely with your permission and psstttt…don’t tell your child.  It’s a surprise).  If you prefer non-live toys instead, please let us know.  It’s totally fine.
  • A Bionerds certificate at the end of the session.
  • Fun time with Bionerds staffs.

 

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:*
-
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:*
-
Relationship to Child:*
Waiver form needs to be signed and submitted on the first day of class.*
I have read the Bionerds Sexual Abuse and Misconduct Prevention Policy and understood the content.*
I have read the Bionerds Laboratory Rules and Safety Guidelines and agreed to review it with my child.*
Join our mailing list?:*
How did you hear about us?*
Select your FREE T-Shirt Size:*
We will send home a little "live friend" (cricket, ladybug, or goldfish) with your child when he or she shows a good behavior in class. We want to make sure our little friend is welcome and taken care of. Are you okay with that?*
Select Session*
Belong to a Charter School that will fund this program?*
Select Charter School:*
Total Price:
Security Code: