Labs 4 Home
2008 - 2009 Science Lab Registration
Please print out this page, fill out form, and return in the mail.

Parent (educator) Name:  _______________________________________________
Mailing Address: ______________________________________________________
City: ___________________________________      Zip code: _________________
Phone: __________________________        Fax: ___________________________
Parent(s) email: ______________________________________________________
Preferred way to receive future written material (check one)
_____Mail (USPS)                 _____E-mail                        _____Fax
Student(s) to sign up for labs:

Student's Name: _________________  Lab:_____________  Day/time: __________

Student's Name: _________________  Lab:_____________  Day/time: __________
(second)
Student's Name: _________________  Lab:_____________  Day/time: __________
(third)
Payment in full due 1st day of class.
(Unless arrangements are made.)
 Tuition
 # of students
 Subtotal
Deposit
 $ 40    x
    
Charter student (send no deposit)
      
Science Labs (Jr. High & Sr. High)
 $300   x  
    
    Subtotal:
  
(Discount:  deduct 5% for 2; 10% for 3 or
more students from subtotal)
   Discount:
  
    Total:
  
Send this form with payment to the
address to the right.

Pay in full or pay the lab deposit with registration.
$40 deposit per student

Remaining balance due the 1st day of class, unless
special arrangements are made with Labs 4 Home.
(Don't hesitate to request this option.)

Make check payable to Labs 4 Home.     Thank you.
Please return before September 12.
Labs 4 Home
Greg Beers
306N West El Norte Pkwy.  # 79
Escondido, CA  92026