Superstart: St. Louis- 4th and 5th Grade

February 7th and 8th

We will leave at 4:00 on the 7th and return around 6:00 on Saturday the 8th.

Cost is $150 and scholarships are available.

ONLINE PAYMENT

Child Name

First Name

Last Name

Grade

Parent Name

First Name

Last Name

Parent Email

Parent Phone

(###)

###

####

Allergies (Yes/No)

If so, please explain.

Parent interested in chaperoning?

*This does not mean we will need everyone who is interested. We will contact you if needed!

Yes

No

Maybe

Contact

Next