Prairie Ridge Homeschool Day Registration Form
April 27, 2009
9 am–noon

Please print this form, fill it out, and mail along with your check to:

HOMESCHOOL DAY COORDINATOR
Barbara Beaman
NC Museum of Natural Sciences
11 West Jones St.
Raleigh, NC 27601-1029

A completed registration form and check for payment are necessary to register for Prairie Ridge Homeschool Day, April 27, 2009. Forms are due at the Museum by 5 pm on Thursday, April 23. Forms may be dropped off at the Museum’s front desk.

  • No registration accepted after 5 pm on Thursday, April 23, 2009
  • One family per form please.
  • Limited space is available. Families admitted on a first come, first serve basis.

If this event is canceled due to weather, your checks will be returned to you.

Questions? Email barbara.beaman@ncmail.net

Parent's Name _______________________________________________________________

Participating Parent's Name _____________________________________________________

Home Address _______________________________________________________________

City _____________________________________ State ________ Zip __________________

Phone (home) __________________________   E-mail* ______________________________
                                    *Confirmation & other information will be emailed to you.

Child's Name _____________________________________ Grade/Age __________________

Child's Name _____________________________________ Grade/Age __________________

Child's Name _____________________________________ Grade/Age __________________

Child's Name _____________________________________ Grade/Age __________________

Child's Name _____________________________________ Grade/Age __________________

 

Category
Number Registering
Fee
Total Fee
Children less than 4 years old
$0.00
$0.00
Children ages 4–6  
$4.00
  
Children ages 7–9  
$4.00
  
Ages 10 and up  
$4.00
  
Adults  
$4.00
 

Total Amount Enclosed
Please make checks payable to Friends of the Museum