2018 Home School Workshops - Registration Form

2018 Home School Workshops - Registration Form

Thank you for registering your student(s)! Registration is filled on a first come, first served basis. Heritage Hill will email a confirmation email to you within 2 working days of receiving your registration and payment (payment is needed to register). Please add us to your accepted email list (), and check your spam folder if you do not see a confirmation email.

Minimum age for 2018 programs: 6 and up

Cost for 2018 programs: $6 per attendee (unless otherwise noted)

Family Name: ______

Guardian Name: ______Daytime Phone (_____) ______

Address: ______City/State/ZIP: ______

Email: ______

How did you hear about our Home School Programs? [ ] Social Media [ ] Einstein Expo [ ] ______

Children’s Names:

______Age ______Birth Date ______/______/______

Emergency Contact and Parental Consent(Complete if parents do not attend workshop. Must be able to contact during day)

Name: ______Emergency Number: (______) ______

Current Medications, allergies, or special needs: (Please note for each child.)

____________

I will not hold Heritage Hill responsible in case of injury resulting from my child’s participation in a Home School workshop and give consent to my child being given emergency treatment by a physician or hospital as needed.

______

Parent/Guardian Signature

2018 Home School Programs

Wed, January 31, 2018

Laura’s Recipes(ages 6 and up – children under 8 must be accompanied by an adult)

10:00-11:30am

Child’s Name:

1. 3.

2. 4.

Payment due:

_____ student(s) @ $9each = ______

_____additional adults @ $9 each= ______

______total for this class

Wed, February 21, 2018

Freedom Riders

10:00-11:30am

Child’s Name:

1. 3.

2. 4.

Payment due:

_____ student(s) @ $6 each = ______

_____additional adults @ $6 each= ______

______total for this class

Wed, March 28, 2018

1848 Schoolhouse

10:00-11:30am

Child’s Name:

1. 3.

2. 4.

Payment due:

_____ student(s) @ $6 each = ______

_____additional adults @ $6 each= ______

______total for this class

Wed, April 18, 2018

My Heart in a Suitcase

10:00-11:30am

Child’s Name:

1. 3.

2. 4.

Payment due:

_____ student(s) @ $6 each = ______

_____additional adults @ $6 each= ______

______total for this class

Wed, May 2, 2018

Spring Tours(all ages welcome!)

9:00am-3:00pm

Child’s Name:

1. 3.

2. 4.

Payment due:

_____ student(s) @ $6 each = ______

_____additional adults @ $6 each= ______

______total for this class

Wed, June 13, 2018

Paper Making

10:00-11:30am

Child’s Name:

1. 3.

2. 4.

Payment due:

_____ student(s) @ $6 each = ______

_____additional adults @ $6 each= ______

______total for this class

Wed, July 18, 2018

Life at Fort Howard

10:00-11:30am

Child’s Name:

1. 3.

2. 4.

Payment due:

_____ student(s) @ $6 each = ______

_____additional adults @ $6 each= ______

______total for this class

Wed, August 29, 2018

Nature Walk

10:00-11:30am

Child’s Name:

1. 3.

2. 4.

Payment due:

_____ student(s) @ $6 each = ______

_____additional adults @ $6 each= ______

______total for this class

Wed, September 19, 2018

Explore the Fur Trade

9:30am-12:00pm

Child’s Name:

1. 3.

2. 4.

Payment due:

_____ student(s) @ $6 each = ______

_____additional adults @ $6 each= ______

______total for this class

Wed, October 3, 2018

Life on a Belgian Farm

9:30am-12:00pm

Child’s Name:

1. 3.

2. 4.

Payment due:

_____ student(s) @ $6 each = ______

_____additional adults @ $6 each= ______

______total for this class

Wed, November 14, 2018

Victorian Etiquette

10:00-11:30am

Child’s Name:

1. 3.

2. 4.

Payment due:

_____ student(s) @ $6 each = ______

_____additional adults @ $6 each= ______

______total for this class

Wed, December 5, 2018

A Soldier’s Story

10:00-11:30am

Child’s Name:

1. 3.

2. 4.

Payment due:

_____ student(s) @ $6 each = ______

_____additional adults @ $6 each= ______

______total for this class

Payment must be received before registration is complete.

Family Name: ______

Quantity / Price / Total Price
Total Number of students (add up for all programs):
Total Number of
Adults:
Total Due:

*Note: Heritage Hill reserves the right to cancel any program if minimum attendance numbers are not met.

In this event, workshop fees will be refunded.

* * * You are not required to stay with your child unless otherwise noted. Please do not bringsiblings or others who are underage.While we understand the want to include all, the program is set up and designed for the registered number of age-appropriate people.

ALL PHOTOGRAPHS TAKEN DURING PROGRAMS MAY BE USED IN HERITAGE HILL BROCHURES OR OTHER ADVERTISING PROMOTIONS