Registration – Bionerds Facility

Bionerds Tustin Classes Monday-Thursday have been CANCELLED.  Our Friday classes are still OPEN.  Classes are starting soon.  REGISTER NOW BELOW!

 

IMPORTANT MESSAGE:

Use the form below only for Bionerds Tustin Facility Classes (OPEN for the Public).  For other facilities, please click here to go to the specific registration form.  Please review our Class Schedules prior to registration.

 

Classroom will be held in our office: 560 W. 1st Tustin, Suite 2, Tustin, CA 92780

Welcome to our registration page.  Please review our policy documents below before you register.  Don’t worry, our page is secure.

Child's Name:*
Sex:*
Birthdate:*
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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 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?*
We may send home a little "live friend" (such as cricket, ladybug, worms, etc. depending on the topics) with your child during the session. We want to make sure our little friend is welcome and taken care of. Are you okay with that?*
Select Session*
Are you interested in Tutoring before and/or after class?*
Total Price:
Belong to a Charter School that will fund this program?*
Select your Charter School:*
Security Code: