25-26 PROGRAMMING

Success4School EDventures- adventures built to grow each learner’s mind & body

NAME OF EDVENTURER

PARTICIPANT NAME

First Name

Last Name

PARENT

Parent Name

PARENT EMAIL

Phone

PARENT CELL PHONE

(###)

###

####

PROGRAM REGISTRATION

Please check all programs for which you are registering. Payment is made once registration is received. Check all programs that apply.

PALETTE & PALATE PROGRAM

SPORTS & RECREATION PROGRAM

PARENT NIGHT OUT: PNO

BRAIN CAMP- MAR 23-26 $299

SUMMER 2026 CAMPS

BILLING CHOICE

PLEASE CHOOSE HOW TO PAY FOR THE PROGRAM(S) SELECTED

New Edventurer (Never attended any programming before [WE WILL CALL FOR CC #]E VIA PHONE

Current Client: USE ANY PAYMENT TYPE ON FILE

REGISTRATION POLICIES

Once registered, all fees are due. The decision to hold a program is based on your registration. We cannot make refunds once this form is submitted. Using a credit card or e check incurs processing fees [ CC 3.5% E Check 2%).