Nebraska History Museum, 15th & P, Lincoln NE
Registration for 2010 Summer Kids ’ Classes
All registrations are on a first-come, first-served basis. Refund requests must be made 72 hours prior to the class date. NSHS reserves the right to cancel classes due to conditions beyond its control. Participants will be notified prior to the class of any cancellations. They may choose to obtain a full refund or sign up for another available summer class.
Parent/Guardian ____________________________________________________________________________
Home phone ___________________ Cell phone ____________________ Day phone _____________________
Email address _____________________________________________________________
Mailing address _____________________________________________________________________________
City ___________________________________ State _________ Zip ________________
By registering for this class, you are giving NSHS permission to use your child’s photo in print and on our website & facebook page.
Student(s) Name(s) Grade(s) Class Title(s)/Date(s)
__________________________________ ________ ____________________________________________
__________________________________ ________ ____________________________________________
__________________________________ ________ ____________________________________________
Things we should be aware of (health concerns, etc.) _____________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
v The fee for each Fabulous Fun Friday in July class is $1.00 per child.
v The fee for each two-day class is $20.00 per child ($18.00 for NSHS members).
? Series Discount - Take all three classes for $50.00 per child ($45.00 for NSHS members)
? Scholarships available – contact Judy at 471-4757
Total included for classes $__________
Return this completed form with your check (payable to Nebraska State Historical Society ) to:
Nebraska State Historical Society’s
Nebraska History Museum
Kids’ Classes
Box 82554
Lincoln, NE 68501