***WAITLIST*** "ALL ABOUT ENGINEERING" - Ballard Road Elementary, January 20th, 2018

$25 in cash or check at the door.  Drop off is 9:00-9:30 and there will be a video presentation at 1:45, pickup at 2:00.

If you are signing up TWO of more children please exit out of the browser and reopen it after each child.

Name of Child *
Name of Child
Date of Birth *
Date of Birth
Parent Name *
Parent Name
Address *
Address
Parent Cell Phone *
Parent Cell Phone
Parent Home Phone
Parent Home Phone
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
The EYE Staff is American Red Cross CPR/AED/First Aide Certified
Lunch Options *
The EYE Saturday Program provides a free pizza lunch for all participants! To avoid wasting food, please check the appropriate box below.
Photo Release Consent *
I give consent for photos of my child taken at the EYE Saturday Program to be used in the promotion of further Educating Young Engineers programs.