On this special day,  we will explore the scientific challenge of JUGGLING!  Our Instructor,  Rod Kimball,  will give a group physics lesson,  and demonstrate a multitude of tricks and how to achieve them.

RESERVATION FORM (An emergency form is also necessary)



Child’s Name__________________________________________________________________ Age______________



Parent(s)  Name(s)_______________________________________________________________________________



Home Phone___________________________________________________________________________________



Address_______________________________________________________________________Zip______________

                                                           Discounted if Payment Received

  Date                                        Price                     Before Sept  20                              Early Drop-off     Extended Day

Tues. Sept 29, 2008      ___$75              ___$65                   Tues.        ___$10     ___$20  

Wed.  Oct  1, 2008             ___$75            ___$65                   Wed.          ___$10     ___$20     

Thur.  Oct. 9, 2008           ___$75             ___$65                   Thur.           ___$10    ___$20      

Mon.  Oct  13, 2008             ___$75               ___$65                Mon.         ___$10    ___$20      



Field trip t-shirt   choice:  blue  green   purple    size:  ysm   ym   ylg   exsm  sm  m  lg    ____$20



Escort       ___$15 one trip       ___$30 two trips         ___$45 three trips       ___$60 four trips



      Escort’s Name ______________________________________________   



                    Passports and or Lab logs $1 each or $10 full set   $_________



                                                                                                                                                  TOTAL:$_____________



Make check payable to Sarah Corning and mail in.