Please complete this form to register your child for any of our eSTEAM Club Programs. Completing this form provides us with the information we need for your child(ren) to safely participate in any of our programs. Once you have completed the registration form, click on the Home tab at the top of webpage to purchase your child's program ticket. Tickets must be purchased before your child can join us for any program. You can purchase tickets for multiple programs or weeks of one program in advance.
Select Program*
Parent/ Guardian Information
Parent/Guardian Name
Contact
Address
Child 1 Information
Child Name *
Date of Birth
School Information
Teacher's Name
List All Individuals Authorized To Pick Up
Medical Information
Please list allergies/medical conditions. List any daily medications your child takes. This information is private and only used in case of emergencies.
Child 2 Information
Child Name *
Date of Birth
School Information
Teacher's Name
List All Individuals Authorized To Pick Up
Additional Information
Please list allergies/medical conditions. List any daily medications your child takes. This information is private and only used in case of emergencies.
Child 3 Information
Child Name *
Date of Birth
School Information
Teacher's Name
List All Individuals Authorized To Pick Up
Additional Information
Please list allergies/medical conditions. List any daily medications your child takes. This information is private and only used in case of emergencies.
