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 ______/______/______
______Age ______Birth Date ______/______/______
______Age ______Birth Date ______/______/______
______Age ______Birth Date ______/______/______
______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 PriceTotal 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