Child's Name *

If you want to register more than one child, please fill out separate registration forms

First Name

Last Name

Adult Contact's Name *

Parent, guardian or relative - the person we should contact with updates, reminders, and important info

First Name

Last Name

Adult Contact's Phone Number *

(###)

###

####

Payment Options

The price for this class is $325. How would you like to pay?

All at once, online

All at once, in-person at the first class

Monthly, online

Monthly, in-person at the first class of the month

Media Release

Do you give your permission for photos of your child to be used in The STEAM Engine's marketing materials?

Yes

No