Registration Page

Let's get your child registered!

Please complete this form.

Child's Details

Child's Full Name *

Child's Date of Birth *

Special Needs

Guardian/Parent's Details

Full Name *

Phone

Email *

Emergency Contact

Emergency Contact Name

Emergency Contact Phone Number *

Agreement

As the parent or legal guardian of the above-named child, I hereby give permission for my child to participate in the science classes or camps offered by Little Sparks STEAM Club.

I understand that reasonable precautions will be taken to ensure the safety and well-being of all participants. However, I also understand that participation in hands-on activities, science experiments, outdoor exploration, and physical movement involves inherent risks, including (but not limited to) minor injuries, allergic reactions, or accidents.

I agree that Little Sparks STEAM Club and its instructors will not be held liable for any injury, illness, or accident that may occur while my child is participating in the program, unless caused by gross negligence or willful misconduct.

I have informed the program staff of any allergies, health concerns, or special needs my child may have.

Signature

Clear

I understand that photos and videos may be taken during camp activities for educational, promotional, or marketing purposes (e.g., social media, website, flyers). Please check one: *

YES, I give permission for my child’s photograph, image, or likeness to be used by Little Sparks STEAM Club for promotional or educational purposes. I understand that no names or identifying information will be used without additional permission.

NO, I do not give permission for my child’s photograph or image to be used.