See  Registration instructions   page for tuition information
2010 - 2011 Science Lab Registration
Please print out this page, fill out form, and return through the mail.

Parent (educator) Name:  _________________________________________________________

Mailing Address: ________________________________________________________________

City: ________________________________________      Zip code: ________________________

Phone: ________________________________    

Parent(s) email: _________________________________________________________________

Emergency contact number to call during the lab class. ___________________________________

Tuition
 Tuition
 # of
students
 Subtotal
Deposit (all lab classes)
 $ 40   x  
    
Science Labs
 $310   x  
    
(Poway science labs only)
$285  x
    
    Subtotal:
  
(Discount:  deduct 5% for 2 students)
For 3 or more students contact Labs4home first
  
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
Labs 4 Home
Greg Beers
306N West El Norte Pkwy.  # 79
Escondido, CA  92026
Student's Name: ______________________  Lab:_______________  Day/time: ________________

Student's birth date (year optional) ______________

Any additional students please use the back side of this form, and provide the same information as above.
I have read the Terms of Agreement  I understand what it says and I accept the terms.

Parent signature ________________________   date _______________________
Make check payable to Labs 4 Home.