REGISTRATION FORM

 

Name_______________________________________________ Block:__________

 

Address_____________________________________________________________

 

City________________________ Zip________________  Phone_______________

 

Parent’s Name________________________________________________________

 

Please check each item to show that your have read and understand the rules and requirements for the IRMS Science Club.

 

q       We understand that Science Club members must have good behavior at all events.  Behavior that puts the safety of others at risk will result in the loss of science club privileges for the remainder of the year.

 

q       We understand that Science Club members must maintain passing grades.  Members with failing grades will be considered ineligible until those grades improve.

 

q       We understand that Science Club members must complete at least half of the club events and activities to qualify for the end-of-the-year field trip.

 

 

___________________________    ____________________________    ___________

      Student’s Signature             Parent’s Signature                                 Date

 

 

 

PLEASE return this form by October 14, 2005